Japanese Journal of Cardiovascular Surgery Vol47,No1

A Case of Open Surgery for Endoleak after Thoracic Endovascular Aortic Repair of the Aortic Arch
Yuki Mochida*,** Junichi Shimamura* Shigeru Sakurai*
Kensuke Ozaki* Susumu Oshima* Takuya Fujikawa*
Yuji Sekine*** Shin Yamamoto* Shirou Sasaguri*

(Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Japan)

A 72-year-old woman underwent thoracic endovascular aortic repair(TEVAR)for an aortic arch aneurysm at a previous hospital. During follow-up, although the aneurysm was found to have become bigger, no further treatments were given, except for conservative follow-up. The patient sought a second opinion and thus visited our hospital. Enhanced computed tomography(CT)revealed a type I endoleak that required repair. Total arch replacement with removal of the partial stent-graft system was performed under deep hypothermic circulatory arrest. The patient made a steady progress postoperatively and was discharged without any complications. Endovascular repair is minimally invasive and frequently used in various medical facilities but carries a considerably high risk of reintervention. Treatment strategies for aortic aneurysm, including open surgery, should be carefully chosen.


Jpn. J. Cardiovasc. Surg. 47:26-30(2018)

Keywords:stentgraft;Zone 0;total arch replacement;re-intervention

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