| Endovascular Stent-Grafting in
a Patient with Concomitant Descending Thoracic Aortic Aneurysm
and Cancer of the Right Lung |
(Second Department of Surgery, Yamagata University
School of Medicine, Yamagata, Japan)
| Tsutomu Sugimoto |
Toshiki Takahashi |
Takashi Minowa |
| Satoshi Shiono |
Hiroyuki Oizumi |
Takao Watanabe |
| Yasuhisa Shimazaki |
|
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|
A 75-year-old woman underwent endovascular
stent-grafting for a descending thoracic aortic aneurysm, followed
by video-assisted thoracoscopic right upper lobectomy for concomitant
lung cancer in a later procedure. Two custom-made endovascular
spiral Z stents covered with woven Dacron (DuPont Co., Wilmington,
DE, USA) were delivered via the femoral artery under local anesthesia
using pull-through technique. Intraoperative angiograms showed
successful exclusion of the aneurysm without any endoleakage.
Conventional surgical treatments for both diseases in this patient
would have required bilateral thoracotomy either in a simultaneous
or staged fashion and entail risks of postoperative pulmonary
dysfunction and progression of the cancer. Endovascular stent-grafting
offered potential superior operative results and quality of postoperative
life in this patient with concomitant descending thoracic aortic
aneurysm and cancer of the right lung.
Jpn. J. Cardiovasc. Surg. 30: 210-212 (2001) |
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