Department of Cardiovascular Surgery, Tokyo Womens Medical University, Shinjuku-ku, Tokyo 162- 8666, Japan
Dr Takashi Azuma is currently affiliated with the Department of Cardiovascular Surgery, Tokyo Women’s Medical University Hospital, Shinjuku-ku, Tokyo 162-8666, Japan. Dr Takashi Azuma specializes in in Cardiovascular Surgery
Case Report
Simultaneously Fenestrated Thoracic Endovascular Repair in Aortic Arch and Thoraco Abdominal Saccular Aneurysms
Author(s): Akiko Yamagata*, Satoru Domoto, Takashi Azuma, Yoshihiko Yokoi, Minako Hayakawa, Shogo Isomura and Hiroshi Niinami
A 71-year-old man with a history of mitral valve repair presented with distal arch and thoracoabdominal saccular
aneurysms. Echocardiography showed a low ejection fraction and moderate residual mitral regurgitation.
Open surgery and debranching Thoracic Endovascular Aortic Repair (TEVAR) for these aneurysms with two
administrations of general anesthesia were considered high risk for this patient. We successfully performed two
simultaneous procedures: fenestrated total arch TEVAR for one vessel reconstruction for the saccular aneurysm of
the distal arch, and fenestrated thoracoabdominal TEVAR for three vessel reconstructions for thoracoabdominal
saccular aneurysms. The patient’s postoperative course was uneventful. .. View more»