Abstract
We herein present a 60 years old woman with Takayasu arteritis and an extensive thoracic aortic aneurysm who initially underwent a total aortic arch replacement. Then, in the second stage, thoracic endovascular aortic repair was performed using the elephant trunk graft as the proximal landing zone at four weeks after aortic arch repair. The postoperative course was relatively uncomplicated, but a type II endoleak was noted. Currently, about 5 years postoperatively, the slight type II endoleak from intercostal artery persists, but aneurism dilatation has not been noted, so the patient is being followed up.
Highlights
Single-stage surgery is preferable for extensive thoracic aortic aneurysms, but because of the excessive invasiveness of this approach, staged surgery must sometimes be performed
We present a patient with Takayasu arteritis and an extensive thoracic aortic aneurysm who initially underwent a total aortic arch replacement
Case presentation A 60-year-old woman who had been given a diagnosis of Takayasu arteritis about 20 years previously was being treated with steroids, but because of progressive dilatation of the ascending to mid-descending aorta, she was hospitalized for treatment (Figure 1)
Summary
Background Single-stage surgery is preferable for extensive thoracic aortic aneurysms, but because of the excessive invasiveness of this approach, staged surgery must sometimes be performed. We present a patient with Takayasu arteritis and an extensive thoracic aortic aneurysm who initially underwent a total aortic arch replacement. In the second stage, thoracic endovascular aortic repair (TEVAR) was performed using the elephant trunk graft as the proximal landing zone.
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