Abstract
Objectives: We successfully performed open stent-grafting (OSG) in distal arch aneurysm and reviewed the results. Methods: Between August 2000 and September 2008, OSG was performed in 30 patients with distal arch aneurysm in our hospital. In 15 of these, OSG was performed using the inclusion method (group I). Another 15 patients underwent OSG with total aortic arch replacement (group T). Results: There were no statistically significant differences between the 2 groups. No endoleakage was noted in group T, but did occur in 3 patients in group I in the early postoperative period. Futhermore, in the postoperative mid-term, complications related to the stentgraft occurred in 4 patients in group I and in 1 in group T. Reoperation was performed in 3 of these patients (2; group I, 1; group T). Complications related to the stentgraft tended to occur frequently in I group during follow-up. Conclusion: The early and mid-term results of OSG with total aortic arch replacement are acceptable.
