Lengthening of proximal implantation site during endovascular repair of thoracic aortic aneurysm: Preservation of carotid patency with retrograde trans endograft deployment of a carotid stent
Corresponding Author
Guering Eid-Lidt MD
Department of Interventional Cardiology, Instituto Nacional de Cardiología “Ignacio Chávez,” Mexico City, Mexico
Department of Interventional Cardiology, Instituto Nacional de Cardiología “Ignacio Chávez,” Juan Badiano No 1, Tlalpan, CP 14080 Mexico City, MéxicoSearch for more papers by this authorSamuel Ramirez MD
Department of Cardiovascular Surgery, Instituto Nacional de Cardiología “Ignacio Chávez,” Mexico City, Mexico
Search for more papers by this authorJorge Gaspar MD
Department of Interventional Cardiology, Instituto Nacional de Cardiología “Ignacio Chávez,” Mexico City, Mexico
Search for more papers by this authorCorresponding Author
Guering Eid-Lidt MD
Department of Interventional Cardiology, Instituto Nacional de Cardiología “Ignacio Chávez,” Mexico City, Mexico
Department of Interventional Cardiology, Instituto Nacional de Cardiología “Ignacio Chávez,” Juan Badiano No 1, Tlalpan, CP 14080 Mexico City, MéxicoSearch for more papers by this authorSamuel Ramirez MD
Department of Cardiovascular Surgery, Instituto Nacional de Cardiología “Ignacio Chávez,” Mexico City, Mexico
Search for more papers by this authorJorge Gaspar MD
Department of Interventional Cardiology, Instituto Nacional de Cardiología “Ignacio Chávez,” Mexico City, Mexico
Search for more papers by this authorAbstract
Endovascular repair of descending thoracic aortic aneurysms with a reduced proximal implantation site represents a technical challenge. Surgical procedures before endovascular exclusion can be necessary to increase the length of the proximal landing site to avoid type 1 endoleaks. We present a case of endovascular exclusion of a descending thoracic aortic aneurysm with the endograft placed proximal to the left common carotid artery. Flow to this arch was preserved reconstructing the carotid ostium with the retrograde implantation of a carotid stent that was placed extending across an orifice created in the deployed endograft by puncture and balloon dilatation. © 2008 Wiley-Liss, Inc.
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