Extra-anatomical splanchnic revascularization for hybrid treatment of thoracoabdominal aortic aneurysms.
Igor VendraminPaolo FrigattiAndrea LechiancoleMassimo SponzaUberto BortolottiUgolino LiviPublished in: Journal of cardiac surgery (2019)
Treatment of thoracoabdominal aortic aneurysms with endovascular or conventional surgical techniques is burdened by high risk in older patients. Furthermore, the standard hybrid approach might be not feasible in case of severe atherosclerotic disease of the peripheral vessels. This report describes an alternative hybrid procedure which consists of an innovative mini-invasive thoracic approach combined with laparotomy to perform antegrade revascularization of the visceral arteries from the ascending aorta, followed by endovascular treatment.
Keyphrases
- pulmonary artery
- aortic valve
- endovascular treatment
- aortic dissection
- percutaneous coronary intervention
- coronary artery bypass grafting
- left ventricular
- coronary artery
- heart failure
- insulin resistance
- minimally invasive
- pulmonary arterial hypertension
- combination therapy
- aortic aneurysm
- early onset
- acute coronary syndrome
- replacement therapy