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Hybrid endovascular repair of thoracic aortic aneurysm in a patient with Behçet's disease following right to left carotid-carotid bypass grafting.

Authors
 Soonchang Hong  ;  Han Ki Park  ;  Won-Heum Shim  ;  Young-Nam Youn 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.26(3) : 444-446, 2011 
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
 1011-8934 
Issue Date
2011
MeSH
Aortic Aneurysm, Thoracic/complications ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery* ; Behcet Syndrome/complications* ; Behcet Syndrome/surgery ; Blood Vessel Prosthesis Implantation/methods* ; Carotid Arteries/physiopathology ; Carotid Arteries/surgery* ; Coronary Artery Bypass ; Endovascular Procedures ; Humans ; Male ; Middle Aged ; Radiography ; Stents ; Thrombosis/complications ; Tomography Scanners, X-Ray Computed ; Vasculitis/complications
Keywords
Aortic Aneurysm ; Behçet Syndrome ; Carotid-Carotid Bypass ; Endovascular Repair ; Inflammatory
Abstract
Endovascular repair of inflammatory aortic aneurysms has been reported as an alternative to open surgical treatment. In selective cases, adjunctive bypass surgery may be required to provide an adequate landing zone. We report a case of endovascular repair of an inflammatory aortic aneurysm in a patient with Behçet's disease using a carotid-carotid bypass graft to provide an adequate landing zone. A 45-yr-old man with a voice change was referred to our hospital with the diagnosis of saccular aneurysm of the distal aortic arch resulting from vasculitis. Computed tomography showed a thoracic aortic aneurysm with thrombosis. Right to left carotid-carotid bypass grafting was performed. After 8 days, the patient underwent an endovascular stent graft placement distal to the origin of the innominate artery. The patient was discharged with medication and without postoperative complications after 5 days. Hybrid endovascular treatment may be suitable a complementary modality for repairing inflammatory aortic aneurysms
Files in This Item:
T201101294.pdf Download
DOI
10.3346/jkms.2011.26.3.444
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Han Ki(박한기) ORCID logo https://orcid.org/0000-0002-7472-7822
Shim, Won Heum(심원흠)
Youn, Young Nam(윤영남)
Hong, Soon Chang(홍순창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93167
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