Department of Cardiovascular Surgery, Tokyo Womens Medical University, Shinjuku-ku, Tokyo 162- 8666, Japan
Dr. Yoshihiko Yokoi is a vascular surgeon at Tokyo Women’s Medical University, Tokyo, Japan. Features in 1 video on Wondr Medical. Yoshihiko Yokoi specializes in Stroke, Venous (PVD), Peripheral Vascular Disease (PVD), and Aortic Pathology.
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»