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Thromboexclusion Treatment for Recurrent Aortic Aneurysm: Still an Option in Select Cases

  • Choi, Jung Suk (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Hwan Wook (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2019.05.14
  • Accepted : 2019.07.30
  • Published : 2019.12.05

Abstract

Flow reversal and thromboexclusion constitute a valuable alternative for aortic surgeons to have within their technical armamentarium for the treatment of aortic aneurysmal disease. Although not usually a preferred treatment for general aortic pathologies, this technique can be considered as a treatment option in select situations, such as mycotic aneurysm, a hostile surgical field, and a poor condition of the patient. Here, we present a case of extra-anatomic bypass and thromboexclusion for recurrent aortic aneurysm after previous extra-anatomic bypass and thromboexclusion surgery.

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References

  1. Ku K, Nakayama K, Saitoh Y, et al. Long-term follow-up (8 to 17 years) after thromboexclusion operation for thoracic aortic aneurysms. Ann Thorac Surg 1997;64:399-403. https://doi.org/10.1016/S0003-4975(97)00280-4
  2. Carpentier A, Deloche A, Fabiani JN, et al. New surgical approach to aortic dissection: flow reversal and thromboexclusion. J Thorac Cardiovasc Surg 1981;81:659-68. https://doi.org/10.1016/S0022-5223(19)39444-9
  3. Elefteriades JA, Hartleroad J, Gusberg RJ, et al. Longterm experience with descending aortic dissection: the complication-specific approach. Ann Thorac Surg 1992;53:11-20. https://doi.org/10.1016/0003-4975(92)90752-P
  4. Crawford ES, Crawford JL, Safi HJ, et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg 1986;3:389-404. https://doi.org/10.1016/0741-5214(86)90101-1
  5. Moon MH, Jo KH, Kim HW. One-stage extra-anatomical total thoracic aorticvrepair. Eur J Cardiothorac Surg 2015;47:938-9. https://doi.org/10.1093/ejcts/ezu289