Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection
Despite advancements in surgical techniques and critical care, managing complications of type A and B aortic dissections remains challenging. Common morbidities include paraplegia, renal failure, stroke, and intestinal ischemia. Risks are especially high in extensive repairs, such as Crawford extent...
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Elsevier
2025-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002855 |
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| author | Apoorva Bhandari, MD, MSc Michael W.A. Chu, MD, FRCSC Audra Duncan, MD, FACS, FRCSC |
| author_facet | Apoorva Bhandari, MD, MSc Michael W.A. Chu, MD, FRCSC Audra Duncan, MD, FACS, FRCSC |
| author_sort | Apoorva Bhandari, MD, MSc |
| collection | DOAJ |
| description | Despite advancements in surgical techniques and critical care, managing complications of type A and B aortic dissections remains challenging. Common morbidities include paraplegia, renal failure, stroke, and intestinal ischemia. Risks are especially high in extensive repairs, such as Crawford extent II thoracoabdominal aortic aneurysms, and in older patients or those with heart failure, poor pulmonary function, or renal disease. To mitigate these risks, less invasive techniques like total endovascular and hybrid approaches have been developed. We present a case of a 69-year-old female with an 8.5-cm type II thoracoabdominal aortic aneurysm with chronic dissection, successfully treated with a staged hybrid repair. |
| format | Article |
| id | doaj-art-dbf11e3a703c4edc8e5ecb67cd168fd2 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-dbf11e3a703c4edc8e5ecb67cd168fd22025-08-20T02:59:16ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-0111210170110.1016/j.jvscit.2024.101701Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissectionApoorva Bhandari, MD, MSc0Michael W.A. Chu, MD, FRCSC1Audra Duncan, MD, FACS, FRCSC2Division of Vascular Surgery, London Health Sciences Center, University of Western Ontario, London, Ontario, Canada; Correspondence: Apoorva Bhandari, MD, MSc, Vascular Surgery Resident Physician, London Health Sciences Center, 800 Commissioners Road East, London, Ontario N6A 5W9, CanadaDivision of Cardiac Surgery, London Health Sciences Center, University of Western Ontario, London, Ontario, CanadaDivision of Vascular Surgery, London Health Sciences Center, University of Western Ontario, London, Ontario, CanadaDespite advancements in surgical techniques and critical care, managing complications of type A and B aortic dissections remains challenging. Common morbidities include paraplegia, renal failure, stroke, and intestinal ischemia. Risks are especially high in extensive repairs, such as Crawford extent II thoracoabdominal aortic aneurysms, and in older patients or those with heart failure, poor pulmonary function, or renal disease. To mitigate these risks, less invasive techniques like total endovascular and hybrid approaches have been developed. We present a case of a 69-year-old female with an 8.5-cm type II thoracoabdominal aortic aneurysm with chronic dissection, successfully treated with a staged hybrid repair.http://www.sciencedirect.com/science/article/pii/S2468428724002855Endovascular techniquesHybrid repairSpinal cord ischemiaSurgical morbiditiesThoracoabdominal aortic aneurysm repair |
| spellingShingle | Apoorva Bhandari, MD, MSc Michael W.A. Chu, MD, FRCSC Audra Duncan, MD, FACS, FRCSC Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection Journal of Vascular Surgery Cases and Innovative Techniques Endovascular techniques Hybrid repair Spinal cord ischemia Surgical morbidities Thoracoabdominal aortic aneurysm repair |
| title | Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection |
| title_full | Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection |
| title_fullStr | Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection |
| title_full_unstemmed | Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection |
| title_short | Complex staged hybrid repair of extent II thoracoabdominal aortic aneurysm secondary to type A aortic dissection |
| title_sort | complex staged hybrid repair of extent ii thoracoabdominal aortic aneurysm secondary to type a aortic dissection |
| topic | Endovascular techniques Hybrid repair Spinal cord ischemia Surgical morbidities Thoracoabdominal aortic aneurysm repair |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002855 |
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