Yan S, Wu ZY, Ma L, Chen ZG, Diao YP, Li YJ. Total Aortic and Branches Repair with Hybrid Therapy in the setting of Marfan Syndrome: A Case Report.
Ann Vasc Surg 2021;
80:396.e1-396.e5. [PMID:
34808262 DOI:
10.1016/j.avsg.2021.10.052]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 10/03/2021] [Accepted: 10/28/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE
Currently, no standard treatment has been established for the total lesion in patient with Marfan Syndrome (MFS). This case report aims to present a total aortic and branches repair with hybrid therapy in a young patient with MFS.
METHODS
Clinical data including imaging manifestation, surgical document, and follow-up results were retrospectively collected and presented.
RESULTS
A young patient with MFS underwent multi-stage endovascular aortic management and open surgical repair. On-the-table fenestration technique was applied to reconstruct the branches of the abdominal aorta. A bypass from superior mesenteric artery to celiac trunk was performed. A Bentall operation was conducted to repair his ascending aorta and aortic valves. Finally, in situ fenestration technique was adopted to recanalize the branches of aortic arch. The 18 month follow-up computed tomography angiography demonstrated patency of all the aorta branches.
CONCLUSION
It may be feasible to perform the total aortic and branches repair with hybrid therapy in patients with MFS.
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