A Case of Open Surgery for Endoleak after Thoracic Endovascular Aortic Repair of the Aortic Arch

Yuki Mochida＊,＊＊	Junichi Shimamura＊	Shigeru Sakurai＊
Kensuke Ozaki＊	Susumu Oshima＊	Takuya Fujikawa＊
Yuji Sekine＊＊＊	Shin Yamamoto＊	Shirou Sasaguri＊

（Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Japan）

A 72-year-old woman underwent thoracic endovascular aortic repair（TEVAR）for an aortic arch aneurysm at a previous hospital. During follow-up, although the aneurysm was found to have become bigger, no further treatments were given, except for conservative follow-up. The patient sought a second opinion and thus visited our hospital. Enhanced computed tomography（CT）revealed a type I endoleak that required repair. Total arch replacement with removal of the partial stent-graft system was performed under deep hypothermic circulatory arrest. The patient made a steady progress postoperatively and was discharged without any complications. Endovascular repair is minimally invasive and frequently used in various medical facilities but carries a considerably high risk of reintervention. Treatment strategies for aortic aneurysm, including open surgery, should be carefully chosen.

 

Jpn. J. Cardiovasc. Surg. 47:26-30（2018）

Keywords：stentgraft;Zone 0;total arch replacement;re-intervention