Pan-aortic hybrid treatment of mega-aorta syndrome.

Journal Article (Journal Article)

Hybrid procedures combining traditional open and newer endovascular techniques are increasingly used to treat complex aortic disease. We present a novel approach for total aortic replacement, including hybrid repair of the arch and thoracoabdominal aorta, in a patient with "mega-aorta syndrome." A two-stage approach using a valve-sparing aortic root replacement, total arch replacement (stage I elephant trunk), and left carotid-axillary bypass was used to treat the root, proximal-mid arch, and left subclavian aneurysmal pathology. This was followed by a hybrid distal arch/Extent II thoracoabdominal aneurysm repair 3 months later. After 15 months follow-up, the patient remains asymptomatic with an intact repair, no endoleak, and normal ventricular and aortic valve function. This case demonstrates a novel "pan-aortic" hybrid approach for repair of extensive thoracic aortic disease.

Full Text

Duke Authors

Cited Authors

  • Shah, AA; Bhattacharya, SD; McCann, RL; Hughes, GC

Published Date

  • May 2011

Published In

Volume / Issue

  • 53 / 5

Start / End Page

  • 1398 - 1401

PubMed ID

  • 21296539

Electronic International Standard Serial Number (EISSN)

  • 1097-6809

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2010.11.115


  • eng

Conference Location

  • United States