Simultaneous Ascending Aortic Replacement and Thoracic Endovascular Aortic Repair (TEVAR) in Acute Aortic Syndrome
Özet
1.39.15. Simultaneous Ascending Aortic Replacement and Thoracic Endovascular Aortic
Repair (TEVAR) in Acute Aortic Syndrome
Ibrahim Pir 1
, Saad Naddaf 1
, Eyüp Serhat Çalık 1 and Münacettin Ceviz 2
1 Department of Cardiovascular Surgery, Atatürk University Medical Faculty, Erzurum,
Turkiye
2 Department of Cardiovascular Surgery, Buhara Hospital, Erzurum, Turkiye
Backround: The term acute aortic syndrome (AAS) refers to a group of situations
in which there is a danger of impending aortic rupture and treatment delays result in
increased mortality. We aim to present the use of an endovascular and surgical hybrid
approach to treat acute aortic syndrome. The method is a single-step procedure used to
treat severe aortic disease withouth using hybrid operating room.
Case Presentation: Five hours after beginning of acute and severe chest and back pain,
a 62-year-old woman was referred to our department from cardiology. The patient was
hemodynamically stable, hypertensive and had a history of Takayasu arteritis. Ascenden
aort aneurysm, intramural hematoma (IMH) and a Stanford type B aortic dissection were
found in computed tomography (CT). The patient was immediately operated on, under
general anesthesia, and extracorporeal circulation was initiated with femoral cannulation.
Then the patient underwent TCA. The ascending aortic aneurysmatic segment was removed.
The TEVAR procedure was completed with direct view and the ruptured thoracic aortic
segment was treated by opening the Medtronic captiva 30 × 30 × 200 mm stent graft
over the hard wire as zero to the origin of the left subclavian artery. Then Ascending
aortic replacement was completed. The patient’s post-procedure recovery was clinically
uneventful. The patient was discharged on the seventh day after the operation. We
Med. Sci. Forum 2025, 31, 1 177 of 249
demonstrate the efficacy and anatomical feasibility of combining open surgery with an
endovascular method to treat ascenden aort aneurysm and aortic dissection of the thoracic
aorta simultaneously. Endovascular intervention performed during open surgery makes
the operation easier due to direct vision. Considering the complications and difficulties of
thoraco-abdominal surgery, this hybrid approach appears to significantly reduce surgical
morbidity and mortality.
Keywords: Acute aortic sendrome; ascending aortic replacement; hybrid approach; TEVAR
Sürdürülebilir Kalkınma Amaçları
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SKA 3: Sağlıklı Bireyler
Atıf için künye
Pir, İ., Naddaf, S., Çalık, E., & Ceviz, M. (2024). Simultaneous Ascending Aortic Replacement and Thoracic Endovascular Aortic Repair (TEVAR) in Acute Aortic Syndrome. 72nd Congress of the ESCVS, the European Society of CardioVascular and Endovascular Surgery, İstanbul (ss. 1–249).
BibTeX
@inproceedings{pir2024-240791,
author = {Pir, İbrahim and Naddaf, Saad and Çalık, Eyüpserhat and Ceviz, Münacettin},
title = {Simultaneous Ascending Aortic Replacement and Thoracic Endovascular Aortic Repair (TEVAR) in Acute Aortic Syndrome},
booktitle = {72nd Congress of the ESCVS, the European Society of CardioVascular and Endovascular Surgery},
address = {İstanbul},
year = {2024},
pages = {1--249},
url = {https://akademik.atauni.edu.tr/yayinlar/240791-simultaneous-ascending-aortic-replacement-and-thoracic-endovascular-aortic}
}