Hybrid endovascular treatment of an aortic root and thoracoabdominal aneurysm in a high-risk patient with Marfan syndrome

Guido Gelpi, Daniela Mazzaccaro, Claudia Romagnoni, Monica Contino, Carlo Antona

Research output: Contribution to journalArticle

Abstract

This report describes the hybrid endovascular treatment of an aortic root dilatation and a thoracoabdominal aneurysm in a high-risk patient with Marfan syndrome. A 50-year-old male, in hemodialysis for polycystic kidney and polycystic liver, was referred to our department for aortic root dilatation of 5 cm and a 6.3-cm thoracoabdominal aneurysm. He already underwent surgical repair of abdominal aortic aneurysm 10 years ago, complicated by pseudoaneurysm of the proximal anastomosis that had been treated in another center, with an endoprosthesis. The patient underwent aortic root replacement, aortic valve sparing operation, and rerouting of the superior mesenteric artery and celiac trunk to the ascending aorta. The thoracoabdominal aneurysm was excluded with an endoprosthesis few days after the surgical step. The 12-month computed tomography scan confirmed the complete exclusion of the thoracoabdominal aneurysm.

Original languageEnglish
Pages (from-to)300-303
Number of pages4
JournalVascular and Endovascular Surgery
Volume47
Issue number4
DOIs
Publication statusPublished - May 2013

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Keywords

  • aneurysm
  • endovascular repair
  • hybrid procedures

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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