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Eur J Cardiothorac Surg 2006;29:258-260
© 2006 Elsevier Science NL

Case report

Entire rerouting of the supraaortic branches for endovascular stent-graft placement of an aortic arch aneurysm

^a Department of Cardiothoracic Surgery, University of Vienna Medical School, Vienna, Austria
^b Department of Interventional Radiology, University of Vienna Medical School, Vienna, Austria

Received 31 August 2005; received in revised form 31 October 2005; accepted 2 November 2005.

^_* Corresponding author. Address: Waehringer Guertel 18-20, A-1090 Vienna, Austria. Tel.: +43 1 40 400 5643; fax: +43 1 40 400 5642. (Email: bypass{at}eunet.at).

Conventional surgical repair of the aortic arch using cardiopulmonary bypass and deep hypothermic circulatory arrest still carries a substantial rate of mortality and morbidity. Endovascular stent-graft placement has developed as a safe and effective treatment modality in various diseases of the aorta. We report on the case of a 64-year-old male presenting with an aortic arch aneurysm involving the origin of the brachiocephalic trunk. A second thoracic aortic aneurysm was detected in the distal third of the descending aorta. The patient was treated by entire prosthetic rerouting of the supraaortic branches. Metachronously, the patient underwent endovascular stent-graft placement from the distal ascending aorta up the thoracoabdominal transition.

Key Words: Aortic arch • Stent-graft • Supraaortic vessels • Transposition

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