Hybrid surgery for thoracoabdominal aortic aneurysm at Dong Nai General Hospital: A case report

Vo Tuan Anh , Nguyen Cong Tien, Kieu Minh Son, Nguyen Van Dinh, Pham Minh Anh, Dang Ha Huu Phuoc

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Abstract

Introduction: Thoracic and abdominal aortic disease is a rare, serious disease and one of the major challenges for the surgeon with a high prognosis of complications and mortality. Surgery combined with endovascular intervention is a new, minimally invasive method with good early results and good mid-term results.


Methods: We report a case diagnosed with thoracoabdominal aortic aneurysm underwent hybrid intervention at Dong Nai General Hospital


Results: A 68-year-old female patient was diagnosed with Crawford Type V thoracoabdominal aortic aneurysm, underwent debranching surgery of the superior mesenteric artery and celiac trunk followed by stent graft deployment of the diseased aorta, the postoperative course was uneventful.


Conclusions:  Hybrid surgery to treat thoracoabdominal aortic aneurysms can initially be performed at Dong Nai General Hospital. The implementation of this technique at provincial hospitals helps to improve prognosis, reduce mortality and complications, and contribute to improving the professional quality of the hospital.

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References

1. Bickerstaff L K, P C Pairolero, L H Hollier, L J Melton, H J Van Peenen, K J Cherry, J W Joyce, and J T Lie (1982). Thoracic aortic aneurysms: a population-based study, Surgery. 92(6):1103-8.
2. Hong J C and J S Coselli (2021). Open repair remains the gold standard, JTCVS Tech. 10:16-23.
3. Parodi J C, J C Palmaz, and H D Barone (1991). Transfemoral intraluminal graft implantation for abdominal aortic aneurysms, Ann Vasc Surg. 5(6):491-9.
4. Etheredge S N, J Yee, J V Smith, S Schonberger, and M J Goldman (1955). Successful resection of a large aneurysm of the upper abdominal aorta and replacement with homograft, Surgery. 38(6):1071-81.
5. Tenorio E R, M F Dias-Neto, G B B Lima, A L Estrera, and G S Oderich (2021). Endovascular repair for thoracoabdominal aortic aneurysms: current status and future challenges, Ann Cardiothorac Surg. 10(6):744-767.
6. Chaikof E L, Endovascular Treatment of Aneurysms of the Juxtarenal and Pararenal Aorta, in Atlas of vascular surgery and endovascular therapy: Anatomy and Technique. 2014, Elsevier Philadelphia.
7. Tanaka A, G S Oderich, and A L Estrera (2021). Total abdominal debranching hybrid thoracoabdominal aortic aneurysm repair versus chimneys and snorkels, JTCVS Tech. 10:28-33.
8. Park J H, J W Chung, I W Choo, S J Kim, J Y Lee, and M C Han (1996). Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: preliminary experience, J Vasc Interv Radiol. 7(6):819-23.
9. Semmens J B, M M Lawrence-Brown, D E Hartley, Y B Allen, R Green, and S Nadkarni (2006). Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia (1997-2004), J Endovasc Ther. 13(3):320-9.
10. O'Neill S, R K Greenberg, F Haddad, T Resch, J Sereika, and E Katz (2006). A prospective analysis of fenestrated endovascular grafting: intermediate-term outcomes, Eur J Vasc Endovasc Surg. 32(2):115-23.
11. Muhs B E, E L Verhoeven, C J Zeebregts, I F Tielliu, T R Prins, H J Verhagen, and J J van den Dungen (2006). Mid-term results of endovascular aneurysm repair with branched and fenestrated endografts, J Vasc Surg. 44(1):9-15.
12. Patel H J, G R Upchurch, Jr., J L Eliason, E Criado, J Rectenwald, D M Williams, and G M Deeb (2010). Hybrid debranching with endovascular repair for thoracoabdominal aneurysms: a comparison with open repair, Ann Thorac Surg. 89(5):1475-81.
13. Nguyễn Hữu Ước, Nguyễn Tùng Sơn, Lê Nhật Tiên (2021). Phương pháp hybrid điều trị phồng động mạch chủ ngực bụng và phồng động mạch chủ bụng trên thận, Tạp chí Y học Việt Nam.

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