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Antegrade thoracic endovascular aortic repair via the left axillary artery in a patient with aortoiliac occlusive disease (Leriche syndrome)

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Abstract

We present the case of a 77-year-old man with a saccular descending thoracic aortic aneurysm who underwent successful antegrade thoracic endovascular aortic repair (TEVAR) via the left axillary artery. The patient had a history of axillo-bifemoral bypass grafting due to aortoiliac occlusive disease (Leriche syndrome), which precluded normal retrograde TEVAR. Upon successful procedure completion, no endoleak was noted on postoperative computed tomography. The patient was discharged from the hospital without any complications. The left axillary artery is useful as an alternative access site in cases wherein conventional retrograde TEVAR is not feasible.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, 19-1 Uchimaru, Morioka, Iwate, 020-8505, Japan

    Takeshi Kamada, Hajime Kin & Tomoyuki Iwase

  2. Department of Radiology, Iwate Medical University Memorial Heart Center, Morioka, Japan

    Ryoichi Tanaka

  3. Division of Cardiovascular Medicine, Nephrology and Endocrinology, Department of Internal Medicine, Iwate Medical University, Morioka, Japan

    Akihiko Abiko

Authors
  1. Takeshi Kamada
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  2. Ryoichi Tanaka
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  3. Hajime Kin
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  4. Akihiko Abiko
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  5. Tomoyuki Iwase
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Correspondence to Takeshi Kamada.

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Kamada, T., Tanaka, R., Kin, H. et al. Antegrade thoracic endovascular aortic repair via the left axillary artery in a patient with aortoiliac occlusive disease (Leriche syndrome). Gen Thorac Cardiovasc Surg 67, 715–719 (2019). https://doi.org/10.1007/s11748-018-0955-5

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  • DOI: https://doi.org/10.1007/s11748-018-0955-5

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