Aortic Aneurysmal Repair With Surtureless Visceral Revascularization Using Novel Hybrid Vascular Graft and a Gradual Funneling Technique

Abstract

This article details a novel technique in the treatment of a symptomatic thoracoabdominal aneurysm (TAA) involving the visceral segment and an infrarenal abdominal aortic aneurysm. The patient was treated in a 2-staged hybrid approach combining an endovascular repair of the infrarenal segment, followed by open TAA repair. The large visceral arteries were revascularized using expanded polytetrafluoroethylene GORE Hybrid Vascular Graft (GHVG) and a Gradual Funneling Technique with Dacron graft. This method assured a complete hemostatic seal and minimized visceral ischemic time. To our knowledge, this is the first case of sutureless visceral artery revascularization using GHVG reported in the literature.

Keywords

thoracoabdominal aneurysm hybrid vascular graft abdominal aneurysm aneurysmal hybrid repair

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References

Greenberg

Sternbergh

3rd Makaroun

. Intermediate results of the United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms. J Vasc Surg. 2009:50(4):730–737.

Lachat

Mayer

Criado

. New technique to facilitate renal revascularization with use of telescoping self-expanding stent grafts: VORTEC. Vascular. 2008;16(2):69–72.

Donas

Rancic

Lachat

Pfammatter

Frauenfelder

Veith

. Novel sutureless telescoping anastomosis revascularization technique of supra-aortic vessels to simplify combined open endovascular procedures in the treatment of aortic arch pathologies. J Vasc Surg. 2010;51(4):836–841.

Rancic

Mayer

Pfammatter

. A new sutureless telescoping anastomotic technique for major aortic branch revascularization with minimal dissection and ischemia. Ann Surg. 2010;252(5):884–889.

Donas

Lachat

Rancic

. Early and midterm outcome of a novel technique to simplify the hybrid procedures in the treatment of thoracoabdominal and pararenal aortic aneurysms. J Vasc Surg. 2009;50(6):1280–1284.