Simultaneously Fenestrated Thoracic Endovascular Repair in Aortic Arch and Thoraco Abdominal Saccular Aneurysms

Abstract

A 71-year-old man with a history of mitral valve repair presented with distal arch and thoracoabdominal saccular aneurysms. Echocardiography showed a low ejection fraction and moderate residual mitral regurgitation. Open surgery and debranching Thoracic Endovascular Aortic Repair (TEVAR) for these aneurysms with two administrations of general anesthesia were considered high risk for this patient. We successfully performed two simultaneous procedures: fenestrated total arch TEVAR for one vessel reconstruction for the saccular aneurysm of the distal arch, and fenestrated thoracoabdominal TEVAR for three vessel reconstructions for thoracoabdominal saccular aneurysms. The patient’s postoperative course was uneventful.