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J Thorac Cardiovasc Surg 2003;126:1186-1188
© 2003 The American Association for Thoracic Surgery

Brief communication

Endovascular flexible stent grafting with arch vessel bypass for a case of aortic arch aneurysm

^a Department of Cardiothoracic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan

Received for publication April 16, 2003; accepted for publication April 29, 2003.

^* Address for reprints: Yoshio Nitta, MD, PhD, Department of Cardiothoracic Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryou-cho, Aoba-ku, Sendai, Japan 980-8575
ynitta@mail.cc.tohoku.ac.jp

The first 20% of the full text of this article appears below.

See related articles on pages 1181 and 1184.

 

The Matsui-Kitamura (MK) stent graft (Kitagawa, Kanazawa, Japan) is designed to fit the curvy portions of the aorta because first-generation rigid skeleton–type stent grafts potentially cause kinking and endoleak as a result of limited flexibility.^1-3 The MK stent graft consists of a custom-made, self-expandable spiral mesh of a single nitinol wire and thin-walled polyester fabric. We report the first surgical case of aortic arch aneurysm treated with this flexible and curved stent graft after extra-anatomic bypass of the arch vessels⁴ to prepare a landing zone for the stent graft.

Clinical summary

A 71-year-old man with distal arch aortic aneurysm diagnosed 2 months before in another hospital was referred to our hospital because blood-streaked sputum occurred gradually. Hypertension and severe chronic renal failure were also present. Magnetic resonance imaging revealed that the enlarged saccular-type aneurysm was pressing the lung, and this pressure was assumed to have caused the lung injury (Figure 1, A). The size and shape of the aorta were evaluated, and a suitable MK stent graft was ordered immediately.

View larger version (90K): [in this window] [in a new window]   Figure 1. Preoperative magnetic . . . [Full Text of this Article]

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