Hybrid Aortic Repair for Visceral Aortic Patch Aneurysm after Thoracoabdominal Aortic Aneurysm Repair

Ryuki Yamada＊	Hideki Ueda＊	Hiroki Kono＊
Kaoru Matsuura＊	Michiko Watanabe＊	Tomohiko Inui＊
Yasunori Yakita＊	Yusuke Shibata＊	Hiroaki Yamamoto＊
Goro Matsumiya＊

（Department of Cardiovascular Surgery, Chiba University Graduate School of Medicine＊, Chiba, Japan）

We report a 48-year-old man who underwent hybrid aortic repair for visceral aortic patch（VAP）aneurysm. He had undergone descending thoracic aortic repair for post-dissection aneurysm at the age of 25, ascending aorta and proximal aortic arch aneurysm repair at the age of 27, and residual thoracoabdominal dissecting aortic aneurysm repair with VAP reconstruction at the age of 28. During 20 years of follow-up, the VAP gradually enlarged and eventually reached 70×61mm in diameter. Considering a possible severe adhesion after 2 previous left thoracotomies, we planned a 2-staged hybrid aortic repair. First, we performed reno-visceral debranching and as a second stage operation, endovascular aortic repair was performed successfully 39 days after the first-stage operation.

 

Jpn. J. Cardiovasc. Surg. 49:385-389（2020）

Keywords：visceral aortic patch aneurysm;hybrid aortic repair