Total Endovascular Treatment of an Aortic Arch Aneurysm in a Patient with a Mechanical Aortic Valve

✍ Scribed by Spear, R.; Azzaoui, R.; Maurel, B.; Sobocinski, J.; Roeder, B.; Haulon, S.

• Book ID: 125797735
• Publisher: Elsevier Science
• Year: 2014
• Tongue: English
• Weight: 579 KB
• Volume: 48
• Category: Article
• ISSN: 1078-5884
• DOI: 10.1016/j.ejvs.2014.05.011

✦ Synopsis

Introduction:

Endovascular repair of aortic arch aneurysms using an inner-branched device is a new treatment option for patients unfit for open surgery. there are many anatomical restrictions, such as the presence of a mechanical aortic valve that can contraindicate this complete endovascular approach.

Report:

A new delivery system to overcome this issue has been developed. this new system was used to treat an aortic arch aneurysm 77 mm in diameter in a 37-year-old patient with marfan's syndrome. the patient was considered to be at major risk for open surgery because of severe respiratory insufficiency following a second sternotomy.

Discussion:

Total endovascular arch aneurysm repair is no longer contraindicated in patients with a mechanical aortic valve.