Skip to main content

Advertisement

SpringerLink
Log in

Hybrid treatment of a thoracoabdominal aortic aneurysm in China: report of the first successful case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Few cases of hybrid repair of thoracoabdominal aneurysm (TAAA) have been reported in Asian countries. The purpose of this article was to report the first successful hybrid repair of TAAA in China. We performed a two-stage hybrid surgical and endovascular procedure to manage a Safi type V TAAA with the celiac artery, superior mesenteric artery and bilateral renal arteries in a 45-year-old male with poor cardiopulmonary reserves. The patient had no complications and is asymptomatic 3 years after the surgery. Despite the fact that the hybrid procedure is based on meticulous techniques, the procedure has seldom been performed in China. In addition to our case report, we also summarize the recently published reports about hybrid repair for TAAA. The hybrid procedure showed a promising midterm outcome for high-risk patients with TAAA, but the late efficacy of this procedure should be evaluated in additional studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Quinones-Baldrich WJ, Panetta TF, Vescera CL, Kashyap VS. Repair of type IV thoracoabdominal aneurysm with a combined endovascular and surgical approach. J Vasc Surg. 1999;30:555–60.

    Article  PubMed  CAS  Google Scholar 

  2. Patel HJ, Upchurch GR Jr, Eliason JL, Criado E, Rectenwald J, Williams DM, et al. Hybrid debranching with endovascular repair for thoracoabdominal aneurysms: a comparison with open repair. Ann Thorac Surg. 2010;89:1475–81.

    Article  PubMed  Google Scholar 

  3. Wolf O, Eckstein HH. Combined open and endovascular treatment of thoracoabdominal aneurysms and secondary expanding aortic dissections: early and mid-term results from a single-center series. Ann Vasc Surg. 2010;24:167–77.

    Article  PubMed  Google Scholar 

  4. Biasi L, Ali T, Loosemore T, Morgan R, Loftus I, Thompson M, et al. Hybrid repair of complex thoracoabdominal aortic aneurysms using applied endovascular strategies combined with visceral and renal revascularization. J Thorac Cardiovasc Surg. 2009;138:1331–8.

    Article  PubMed  Google Scholar 

  5. Patel R, Conrad MF, Paruchuri V, Kwolek CJ, Chung TK, Cambria RP, et al. Thoracoabdominal aneurysm repair: hybrid versus open repair. J Vasc Surg. 2009;50:15–22.

    Article  PubMed  Google Scholar 

  6. Chiesa R, Tshomba Y, Melissano G, Marone EM, Bertoglio L, Setacci F, et al. Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery. J Vasc Surg. 2007;45:1128–35.

    Article  PubMed  Google Scholar 

  7. Ito T, Kurimoto Y, Kawaharada N, Higami T, et al. Perforation of the duodenum by a vascular prosthesis following hybrid repair of a thoracoabdominal aortic aneurysm. Eur J Cardiothorac Surg. 2009;35:177.

    Article  PubMed  Google Scholar 

  8. Shimamoto T, Tambara K, Marui A, Nishina T, Saji Y, Ueno K, et al. Successful repair of thoracoabdominal aortic aneurysm secondary to chronic dissection by hybrid therapy comprising surgical visceral reconstruction and dual Inoue stent graft implantation. Ann Vasc Surg. 2009;23:410.e7–11.

    Article  Google Scholar 

  9. Kanaoka Y, Kubo H. The six-year results of a combined surgical and endovascular repair for thoracoabdominal aortic aneurysm involving the visceral arteries. Minerva Chir. 2008;63:229–35.

    PubMed  CAS  Google Scholar 

  10. Imai M, Kimura T, Toma M, Saito N, Nakanoue T, Tadamura E, et al. Inoue stent-graft implantation for thoracoabdominal aortic aneurysm involving the visceral arteries. Eur J Vasc Endovasc Surg. 2008;35:462–5.

    Article  PubMed  CAS  Google Scholar 

  11. Watanabe Y, Ishimaru S, Kawaguchi S, Shimazaki T, Yokoi Y, Ito M, et al. Successful endografting with simultaneous visceral artery bypass grafting for severely calcified thoracoabdominal aortic aneurysm. J Vasc Surg. 2002;35:397–9.

    Article  PubMed  Google Scholar 

  12. Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–18.

    Article  PubMed  CAS  Google Scholar 

  13. Anderson JL, Berce M, Hartley DE. Endoluminal aortic grafting with renal and superior mesenteric artery incorporation by graft fenestration. J Endovasc Ther. 2001;8:3–15.

    Article  PubMed  CAS  Google Scholar 

  14. Haddad F, Greenberg RK, Walker E, Nally J, O’Neill S, Kolin G, et al. Fenestrated endovascular grafting: The renal side of the story. J Vasc Surg. 2005;41:181–90.

    Article  PubMed  Google Scholar 

  15. Drinkwater SL, Bockler D, Eckstein H, Cheshire NJ, Kotelis D, Wolf O, et al. The visceral hybrid repair of thoraco-abdominal aortic aneurysms—a collaborative approach. Eur J Vasc Endovasc Surg. 2009;38:578–85.

    Article  PubMed  CAS  Google Scholar 

  16. Coselli JS, Bozinovski J, LeMaire SA. Open surgical repair of 2286 thoracoabdominal aortic aneurysms. Ann Thorac Surg. 2007;83:S862–4. discussion S890–2.

    Article  PubMed  Google Scholar 

  17. Muehling BM, Bischoff G, Schelzig H, Sunder-Plassmann L, Orend KH. Hybrid procedures for complex thoracoabdominal aortic aneurysms: early results and secondary interventions. Vasc Endovascular Surg. 2010;44(2):110–5.

    Article  PubMed  Google Scholar 

  18. Da RMF, Miranda S, Adriani D, Urgnani F, Riambau VA, Mulet J. Hybrid procedures for complex aortic pathology: initial experience at a single center. Rev Esp Cardiol. 2009;62(8):896–902.

    Article  Google Scholar 

  19. Donas KP, Lachat M, Rancic Z, et al. Early and midterm outcome of a novel technique to simplify the hybrid procedures in the treatment of thoracoabdominal and pararenal aortic aneurysms. J Vasc Surg. 2009;50(6):1280-4.

    Article  PubMed  Google Scholar 

  20. Hughes GC, Daneshmand MA, Balsara KR, et al. "Hybrid" repair of aneurysms of the transverse aortic arch: midterm results. Ann Thorac Surg. 2009;88(6):1882–7. discussion 1887–8.

    Article  PubMed  Google Scholar 

  21. Quinones-Baldrich W, Jimenez JC, DeRubertis B, Moore WS. Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: a 10-year experience. J Vasc Surg. 2009;49(5):1125–34.

    Article  PubMed  Google Scholar 

  22. Chiesa R, Tshomba Y, Melissano G, Logaldo D. Is hybrid procedure the best treatment option for thoracoabdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2009;38(1):26–34.

    Article  PubMed  CAS  Google Scholar 

  23. de Mortel RH v, Vahl AC, Balm R, et al. Collective experience with hybrid procedures for suprarenal and thoracoabdominal aneurysms. Vascular. 2008;16(3):140–6.

    Google Scholar 

  24. Bockler D, Kotelis D, Geisbusch P, et al. Hybrid procedures for thoracoabdominal aortic aneurysms and chronic aortic dissections—a single center experience in 28 patients. J Vasc Surg. 2008;47(4):724–32.

    Article  PubMed  Google Scholar 

  25. Gawenda M, Aleksic M, Heckenkamp J, Reichert V, Gossmann A, Brunkwall J. Hybrid-procedures for the treatment of thoracoabdominal aortic aneurysms and dissections. Eur J Vasc Endovasc Surg. 2007;33(1):71–7.

    Article  PubMed  CAS  Google Scholar 

  26. Chiesa R, Tshomba Y, Melissano G, et al. Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery. J Vasc Surg. 2007;45(6):1128-35.

    Article  PubMed  Google Scholar 

  27. Lee WA, Brown MP, Martin TD, Seeger JM, Huber TS. Early results after staged hybrid repair of thoracoabdominal aortic aneurysms. J Am Coll Surg. 2007;205(3):420–31.

    Article  PubMed  Google Scholar 

  28. Donas KP, Schulte S, Krause E, Horsch S. Combined endovascular stent-graft repair and adjunctive visceral vessel reconstruction for complex thoracoabdominal aortic aneurysms. Int Angiol. 2007;26(3):213–8.

    PubMed  CAS  Google Scholar 

  29. Donas KP, Czerny M, Guber I, Teufelsbauer H, Nanobachvili J. Hybrid open-endovascular repair for thoracoabdominal aortic aneurysms: current status and level of evidence. Eur J Vasc Endovasc Surg. 2007;34(5):528–33.

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

Bin Huang and co-authors (Ding Yuan; Jichun Zhao; Yukui Ma) have no conflict of interest to report.

Author information

Authors and Affiliations

  1. Department of Liver and Vascular Surgery of West China Hospital, Sichuan University, No. 37, Guoxue Street, Chengdu, 610041, Sichuan, China

    Bin Huang, Ding Yuan, Jichun Zhao & Yukui Ma

Authors
  1. Bin Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ding Yuan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jichun Zhao
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yukui Ma
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jichun Zhao.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Huang, B., Yuan, D., Zhao, J. et al. Hybrid treatment of a thoracoabdominal aortic aneurysm in China: report of the first successful case. Surg Today 42, 1219–1224 (2012). https://doi.org/10.1007/s00595-012-0164-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-012-0164-2

Keywords

Search

Navigation