TEVAR With 2 Chimneys A. Koay Choon Chern, S. Azmi Yahaya [email protected] Department of Cardiology, National Heart Institute, Kuala Lumpur, Malaysia Clinical History A 77-year-old gentleman presented with change of voice for 1 year and associated with chest discomfort. CT Aortography revealed arch of aorta aneurysm measuring approximately 5.9cm x 6.5cm x 7.0cm, involving the origin of the left common carotid artery. Objective Describing the technique of thoracic endovascular aortic repair (TEVAR) in combination with chimney grafts (brachiocephalic & left common carotid arteries) and plug occlusion of left subclavian artery. 1 Epic 14x60mm Advanta V12 7x59mm Vascular Plug Valiant Thoracic 36/32x150mm (1 st stent graft) 2 Valiant Thoracic 32/32x100mm (2 nd stent graft) 3 Final aortogram 4 Take Home Message TEVAR in combination with chimney graft technique is an efficacious and safe non-surgical option for patients with thoracic aortic aneurysm. In this patient, Thoracic aortic aneurysm was successfully sealed and the great vessels (brachiocephalic and left common carotid arteries) were preserved with no complications. Review 1 month later revealed regression of the aneurysm and recovery of voice.
TEVAR With 2 Chimneys - linc2017.cncptdlx.com · TEVAR With 2 Chimneys A. KoayChoonChern, S. AzmiYahaya [email protected] Department of Cardiology, National Heart Institute,
Jul 11, 2019
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
TEVAR With 2 ChimneysA. Koay Choon Chern, S. Azmi Yahaya [email protected] of Cardiology, National Heart Institute, Kuala Lumpur, Malaysia
Clinical HistoryA 77-year-old gentleman presentedwith change of voice for 1 year andassociated with chest discomfort. CTAortography revealed arch of aortaaneurysm measuring approximately5.9cm x 6.5cm x 7.0cm, involving theorigin of the left common carotid artery.
ObjectiveDescribing the technique of thoracicendovascular aortic repair (TEVAR) incombination with chimney grafts(brachiocephalic & left common carotidarteries) and plug occlusion of leftsubclavian artery.
1Epic 14x60mm
Advanta V127x59mm
Vascular Plug
Valiant Thoracic 36/32x150mm(1st stent graft)
2
Valiant Thoracic 32/32x100mm(2nd stent graft)
3
Final aortogram
4
Take Home MessageTEVAR in combination with chimneygraft technique is an efficacious andsafe non-surgical option for patientswith thoracic aortic aneurysm. In thispatient, Thoracic aortic aneurysm wassuccessfully sealed and the great vessels(brachiocephalic and left commoncarotid arteries) were preserved with nocomplications. Review 1 month laterrevealed regression of the aneurysmand recovery of voice.
Related Documents
