AZUMA Takashi
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
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
ISSN code:2329-6925
Domestic / ForeginForegin
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
Publication date 2020/11/27
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.