2020 Volume 29 Issue 1 Pages 1-4
The standard procedure for aortic aneurysm is still total arch replacement even stentgraft or frozen elephant trunk procedure becomming common. However, the distal anastomosis in the total arch replacement, is often difficult with limited surgical view. And bleeding from it requires sugical hemostasis with cardiopulmonary bypass and left thoracotomy, resulting in severe invasive. We report a case of 82-year-old woman, who had an distal anastomotic bleeding, successfully treated by endovascular aortic repair with antegrade stent-graft insertion via the branch of total arch graft. It is rare to report that hemostasis was performed with stent graft for bleeding at the anastomotic site during sugery, and this could be alternative technique.
