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Multimed Man Cardiothorac Surg. 2010 Jan 01;2010(311):mmcts.2008.003871. doi: 10.1510/mmcts.2008.003871.

Translocation of the supra-aortic vessels and stent grafting of the aortic arch.

Multimedia manual of cardiothoracic surgery : MMCTS

Julia Dumfarth, Roman Gottardi, Johannes Holfeld, Maria Schoder, Tomasz Dziodzio, Andrzej Juraszek, Michael Hoebartner, Günther Laufer, Michael Grimm, Martin Czerny

Affiliations

  1. Department of Cardiothoracic Surgery, University of Vienna Medical School, Vienna, Austria.

PMID: 24412927 DOI: 10.1510/mmcts.2008.003871

Abstract

This is a report on the combined surgical and endovascular treatment of a very large aortic arch aneurysm. In the first step, total arch rerouting was performed with an inversed bifurcated Dacron prosthesis. Brachiocephalic trunk and left subclavian artery were inserted into the two branches of the prosthesis via an end-to-end anastomosis and left common carotid was reinserted into the branch to the left subclavian. In the second step, thoracic endovascular aortic repair was performed. By this combined concept a stable and durable result could be achieved.

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