Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor
|Article types||Case report|
|Peer review||Peer reviewed|
|Title||Simultaneously Fenestrated Thoracic Endovascular Repair in Aortic Arch
and Thoraco Abdominal Saccular Aneurysms
|Journal||Formal name：Journal of Vascular Medicine & Surgery|
|Domestic / Foregin||Foregin|
|Volume, Issue, Page||8(7),pp.1-3|
|Author and coauthor||Yamagata Akiko, Domoto Satoru, AZUMA Takashi, YOKOI Yoshihiko, Hayakawa Minako, ISOMURA Shogo, Niinami Hiroshi|
|Summary||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.