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Eur J Cardiothorac Surg 2005;27:159-161
© 2005 Elsevier Science NL

Case report

Surgical treatment of an aortic arch aneurysm without cardio-pulmonary bypass: endovascular stent-grafting after extra-anatomic bypass of supra-aortic vessels

^a Department of Cardio-Vascular Surgery, Rangueil University Hospital, 1 avenue Jean-Poulhès, 31059 Toulouse, Cedex, France
^b Department of Radiology, Rangueil University Hospital, Toulouse, Cedex, France

Received 22 April 2004; received in revised form 21 July 2004; accepted 27 July 2004.

^* Corresponding author. Tel.: +33 5 61 32 26 52; fax: +33 5 61 32 23 15. (E-mail: cdambrin{at}aol.com).

A 70-year-old patient presented a large saccular aneurysm involving the whole aortic arch. Because of a past history of left thoracotomy and a high co-morbidity profile, we opted for a combined strategy, consisting of an extra-anatomic bypass of the supra-aortic vessels, followed by the endovascular implantation of a covered thoracic stent-graft. Endovascular stent grafting of aortic arch aneurysm, after extra anatomic bypass of supra-aortic vessels, appears as an attractive alternative strategy for high surgical risk patients.

Key Words: Aortic arch aneurysm • Endovascular stent-grafting • Extra-anatomic bypass • Supra-aortic vessels

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