Endovascular aneurysm repair using the periscope graft technique for thoracic aortic anastomotic pseudoaneurysm

Kenichi Hashizume, Hideyuki Shimizu, Kiyoshi Koizumi, Shinya Inoue

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Replacement of an artificial graft in a redo lateral thoracotomy is extremely difficult with a high risk of lung injury. Endovascular intervention may be an ideal option in such conditions, as in the following case. A 75-year old man with a history of coronary artery bypass graft surgery developed a proximal anastomotic pseudoaneurysm 1 year after undergoing artificial proximal descending aorta replacement surgery. Thoracic endovascular aneurysm repair was performed successfully using the periscope graft technique to preserve the flow into the left subclavian artery from the distal side of the aortic stent graft. Since the patient had coronary artery bypass grafting, debranching of the left subclavian artery was considered too risky. Using the periscope graft technique, the pseudoaneurysm was successfully repaired preserving the left subclavian artery patency, thus obviating a side-to-side subclavian artery crossover bypass.

Original languageEnglish
Pages (from-to)553-555
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume16
Issue number4
DOIs
Publication statusPublished - 2013 Apr

Fingerprint

False Aneurysm
Subclavian Artery
Aneurysm
Thorax
Transplants
Coronary Artery Bypass
Lung Injury
Thoracotomy
Thoracic Aorta
Stents

Keywords

  • Endovascular aneurysm repair
  • Periscope graft
  • Pseudoaneurysm
  • Redo

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Endovascular aneurysm repair using the periscope graft technique for thoracic aortic anastomotic pseudoaneurysm. / Hashizume, Kenichi; Shimizu, Hideyuki; Koizumi, Kiyoshi; Inoue, Shinya.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 16, No. 4, 04.2013, p. 553-555.

Research output: Contribution to journalArticle

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