Perfect and Least Invasive Sealing Technique on the Lesser Curvature of the Aortic Arch: Application of a Novel Stent Graft to an Aneurysm Developing on a Postoperative Ductus Arteriosus

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概要

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• A 78-year-old woman who underwent an operation for a patent ductus arteriosus (PDA) about thirty years ago developed an aneurysm on the aortic side of the remnant ductal tissue. To avoid risky, open surgery, we performed endovascular aortic therapy using a novel stent graft (SG), which was pre-curved, fenestrated and custom-made type. This graft was designed to configure to the patient’s whole aortic arch anatomy, and was capable of accurately adjusting its fenestrations to the arch branch orifices during the procedure. The operation was successful, and the patient was discharged uneventfully on 16th postoperative day. The advantage of this fenestrated SG is close sealing, especially over the lesser curvature of the arch. This device could be a simple and effective option to deal with an otherwise normal aortic arch with such a ductus-related localized lesion.

著者

• Soeda Takeshi

  Department Of Applied Quantum Physics And Nuclear Engineering Kyushu University

• Setozaki Shuji

  Department Of Cardiovascular Surgery Matsue Red Cross Hospital

• Harada Hisao

  Department Of Cardiovascular Surgery Kyoto University

• Yuri Koichi

  Department Of Cardiovascular Surgery Saitama Medical Center Jichi Medical University

• SAITO Yuuhei

  Department of Cardiovascular Surgery, Matsue Red Cross Hospital

• YOKOI Yoshihiko

  Department of Cardiovascular Surgery, Tokyo Women's Medical University

• Yuri Koichi

  Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Omiya, Saitama, Japan

• Yokoi Yoshihiko

  Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan

• Soeda Takeshi

  Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Matsue, Shimane, Japan

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