An autopsy case of retrograde in situ branched stent grafting for a complex aortic arch aneurysm

Kota Shukuzawa, MD, PhD; Takeshi Baba, MD; Ryosuke Nishie, MD; Hirotsugu Ozawa, MD; Makiko Omori, MD; Masayuki Hara, MD; Hiromasa Tachihara, MD, PhD; Takao Ohki, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2022)

An autopsy case of retrograde in situ branched stent grafting for a complex aortic arch aneurysm

Kota Shukuzawa, MD, PhD,
Takeshi Baba, MD,
Ryosuke Nishie, MD,
Hirotsugu Ozawa, MD,
Makiko Omori, MD,
Masayuki Hara, MD,
Hiromasa Tachihara, MD, PhD,
Takao Ohki, MD, PhD

Affiliations

Kota Shukuzawa, MD, PhD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Takeshi Baba, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Ryosuke Nishie, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Hirotsugu Ozawa, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Makiko Omori, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Masayuki Hara, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Hiromasa Tachihara, MD, PhD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Takao Ohki, MD, PhD: Correspondence: Takao Ohki, MD, PhD, Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-shinbashi, Minato-ku, Tokyo 105-8461, Japan; Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan

Journal volume & issue: Vol. 8, no. 3
pp. 313 – 318

Abstract

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Although retrograde in situ branched stent grafting (RIBS) is one possible treatment option for thoracic aortic aneurysms, concerns exist regarding the durability of the stent graft (SG) at the junction between the main SG and the branched SG. We report on the autopsy results of a patient treated with RIBS for a complex aortic arch aneurysm. The patient had died of a nonaortic cause 14 months after the RIBS procedure. On computed tomography analysis and a leak test, the harvested SG was intact without any stent fracture, stenosis, or junctional leak at 1 atm water pressure (760 mm Hg).

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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