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KMID : 0191120110260030444
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Journal of Korean Medical Science
2011 Volume.26 No. 3 p.444 ~ p.446
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Hybrid Endovascular Repair of Thoracic Aortic Aneurysm in a Patient with Behcet’s Disease Following Right to Left Carotid-carotid Bypass Grafting
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Hong Soon-Chang
Park Han-Ki
Shim Won-Heum
Youn Young-Nam
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Abstract
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Endovascular repair of inflammatory aortic aneurysms has been reported as an alternative to open surgical treatment. In selective cases, adjunctive bypass surgery may be required to provide an adequate landing zone. We report a case of endovascular repair of an inflammatory aortic aneurysm in a patient with Behcet’s disease using a carotid-carotid bypass graft to provide an adequate landing zone. A 45-yr-old man with a voice change was referred to our hospital with the diagnosis of saccular aneurysm of the distal aortic arch resulting from vasculitis. Computed tomography showed a thoracic aortic aneurysm with thrombosis. Right to left carotid-carotid bypass grafting was performed. After 8 days, the patient underwent an endovascular stent graft placement distal to the origin of the innominate artery. The patient was discharged with medication and without postoperative complications after 5 days. Hybrid endovascular treatment may be suitable a complementary modality for repairing inflammatory aortic aneurysms.
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KEYWORD
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Endovascular Repair, Aortic Aneurysm, Inflammatory, Carotid-Carotid Bypass, Behcet Syndrome
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