Technologies of Diagnosis and Treatment

First experience with total aortic arch debranching followed by thoracic endovascular aortic repair for patient with saccular aortic arch aneurysm

B.M. Todurov¹, А.V. Khokhlov¹, М.D. Glagola¹, S.N. Furkalo², А.O. Danilets², А.N. Fedorenko¹, A.I. Кvasha¹, A.S. Bolgova¹, V.B. Demyanchuk¹

¹ Kyiv City Heart Center

² National Institute of Surgery and Transplantology by O.O. Shalimov of AMS of Ukraine, Kyiv, Ukraine

We report a case report of successful hybrid surgical treatment for 60 years old patient with big saccular aortic arch aneurysm. The procedure included off-pump coronary bypass grafting with relocation of the brachiocephalic arteries to ascending aorta, at the first stage, carotid-subclavian bypass grafting with left subclavian artery ligation, at the second and thoracic endovascular aortic repair, finally.

Key words: aortic arch aneurysm, relocation of brachiocephalic arteries, thoracic endovascular aortic repair.