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Midterm clinical outcome of a case of aortic arch aneurysm treated with a novel arch stentgraft system.
Journal of Cardiac Surgery 2022 September 14
INTRODUCTION: Open surgery is the gold standard treatment for aortic arch disease. However, due to its complexity, open arch replacement is associated with considerable risk of mortality and morbidity.
METHOD: We report a case of 70-year-old gentlemen multiple comorbidities and symptomatic 7 cm aortic arch aneurysm who was treated with a single-stage carotid-carotid and left carotied-axillary bypass followed by zone 0 aortic arch stenting with bimodular Nexus™ stend graft.
RESULTS: Post-operatively, the patient suffered from a minor stroke with full neuruyological recovery. Follow-up computed tomography of the aorta 3 years post-stenting showed excellent stent position with no endoleak and complete resolution of the saccular aneurysm.
DISCUSSION: The midterm result of our patient who was successfully treated with an off-the-shelf single branch, bimodular stent graft system is excellent with complete resolution of the arch saccular aneurysm at 3-year after the operation.
METHOD: We report a case of 70-year-old gentlemen multiple comorbidities and symptomatic 7 cm aortic arch aneurysm who was treated with a single-stage carotid-carotid and left carotied-axillary bypass followed by zone 0 aortic arch stenting with bimodular Nexus™ stend graft.
RESULTS: Post-operatively, the patient suffered from a minor stroke with full neuruyological recovery. Follow-up computed tomography of the aorta 3 years post-stenting showed excellent stent position with no endoleak and complete resolution of the saccular aneurysm.
DISCUSSION: The midterm result of our patient who was successfully treated with an off-the-shelf single branch, bimodular stent graft system is excellent with complete resolution of the arch saccular aneurysm at 3-year after the operation.
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