Abstract
With both stenosis and aneurysm, repairing a severely tortuous and coarcted aorta can present certain difficulties. The advent of hybrid arch frozen elephant trunk techniques, as well as other endovascular solutions, has produced safer surgical repair methods for such cases. We present the reconstruction and repair of a Type-1 thoracoabdominal aortic aneurysm using a staged approach in less-than-optimal anatomy. Interventions included hybrid frozen elephant trunk, balloon dilation, and thoracic endovascular repair.
Highlights
Case PresentationCoarctation of the aorta has an incidence of 0.3 per 1,000 population and is often not discovered until adulthood
We present the reconstruction and repair of a Type-1 thoracoabdominal aortic aneurysm using a staged approach in less-than-optimal anatomy
Our concern was that full deployment of the Frozen elephant trunk (FET) with a good seal in such challenging anatomy would not be possible
Summary
Case PresentationCoarctation of the aorta has an incidence of 0.3 per 1,000 population and is often not discovered until adulthood. Keywords ► aortic arch ► hybrid intervention ► frozen elephant trunk ► coarctation of the aorta ► aneurysm The advent of hybrid arch frozen elephant trunk techniques, as well as other endovascular solutions, has produced safer surgical repair methods for such cases.
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