Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome
This report details a hybrid approach for treatment of abdominal aortic aneurysm in a patient with Marfan syndrome (MFS). A 34-year-old patient with MFS and prior open thoracoabdominal aortic aneurysm repair underwent bilateral common iliac artery interposition graft repair and endovascular aortic r...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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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/S2468428724001795 |
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| author | Jesse Y. Han, BA Herbert I. James, III Michelle Manesh, MD Alyssa J. Pyun, MD Elizabeth Miranda, MD Sukgu M. Han, MD, MS |
| author_facet | Jesse Y. Han, BA Herbert I. James, III Michelle Manesh, MD Alyssa J. Pyun, MD Elizabeth Miranda, MD Sukgu M. Han, MD, MS |
| author_sort | Jesse Y. Han, BA |
| collection | DOAJ |
| description | This report details a hybrid approach for treatment of abdominal aortic aneurysm in a patient with Marfan syndrome (MFS). A 34-year-old patient with MFS and prior open thoracoabdominal aortic aneurysm repair underwent bilateral common iliac artery interposition graft repair and endovascular aortic repair. The bifurcated stent graft was implanted into the previous thoracoabdominal graft proximally and iliac interposition grafts distally. Postoperatively, the patient recovered uneventfully with sac regression to 4.5 cm through 2-year follow-up, without seal zone degeneration. This hybrid approach aimed to eliminate landing zone degeneration in patients with MFS undergoing endovascular repair. |
| format | Article |
| id | doaj-art-16e2f9e8e2c34c5eb7e1aa7ef8ccee6d |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-16e2f9e8e2c34c5eb7e1aa7ef8ccee6d2024-11-30T07:13:28ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-01106101595Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndromeJesse Y. Han, BA0Herbert I. James, III1Michelle Manesh, MD2Alyssa J. Pyun, MD3Elizabeth Miranda, MD4Sukgu M. Han, MD, MS5Keck School of Medicine of the University of Southern California, Los Angeles, CADivision of Vascular Surgery and Endovascular Therapy, Keck Medical Center of University of Southern California, Los Angeles, CADivision of Vascular Surgery and Endovascular Therapy, Keck Medical Center of University of Southern California, Los Angeles, CADivision of Vascular Surgery and Endovascular Therapy, Keck Medical Center of University of Southern California, Los Angeles, CADivision of Vascular Surgery and Endovascular Therapy, Keck Medical Center of University of Southern California, Los Angeles, CADivision of Vascular Surgery and Endovascular Therapy, Keck Medical Center of University of Southern California, Los Angeles, CA; Correspondence: Sukgu M. Han, MD, MS, Associate Professor of Surgery, Division of Vascular Surgery and Endovascular Therapy, University of Southern California, 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033This report details a hybrid approach for treatment of abdominal aortic aneurysm in a patient with Marfan syndrome (MFS). A 34-year-old patient with MFS and prior open thoracoabdominal aortic aneurysm repair underwent bilateral common iliac artery interposition graft repair and endovascular aortic repair. The bifurcated stent graft was implanted into the previous thoracoabdominal graft proximally and iliac interposition grafts distally. Postoperatively, the patient recovered uneventfully with sac regression to 4.5 cm through 2-year follow-up, without seal zone degeneration. This hybrid approach aimed to eliminate landing zone degeneration in patients with MFS undergoing endovascular repair.http://www.sciencedirect.com/science/article/pii/S2468428724001795Marfan syndromeEndovascular aortic repairAbdominal aortic aneurysmAortic dissectionIliac artery aneurysm |
| spellingShingle | Jesse Y. Han, BA Herbert I. James, III Michelle Manesh, MD Alyssa J. Pyun, MD Elizabeth Miranda, MD Sukgu M. Han, MD, MS Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome Journal of Vascular Surgery Cases and Innovative Techniques Marfan syndrome Endovascular aortic repair Abdominal aortic aneurysm Aortic dissection Iliac artery aneurysm |
| title | Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome |
| title_full | Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome |
| title_fullStr | Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome |
| title_full_unstemmed | Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome |
| title_short | Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome |
| title_sort | hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with marfan syndrome |
| topic | Marfan syndrome Endovascular aortic repair Abdominal aortic aneurysm Aortic dissection Iliac artery aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724001795 |
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