Download - TEVAR With 2 Chimneys - linc2017.cncptdlx.com · TEVAR With 2 Chimneys A. KoayChoonChern, S. AzmiYahaya [email protected] Department of Cardiology, National Heart Institute,

TEVAR With 2 ChimneysA. Koay Choon Chern, S. Azmi Yahaya [email protected] of Cardiology, National Heart Institute, Kuala Lumpur, Malaysia

Clinical HistoryA 77-year-old gentleman presentedwith change of voice for 1 year andassociated with chest discomfort. CTAortography revealed arch of aortaaneurysm measuring approximately5.9cm x 6.5cm x 7.0cm, involving theorigin of the left common carotid artery.

ObjectiveDescribing the technique of thoracicendovascular aortic repair (TEVAR) incombination with chimney grafts(brachiocephalic & left common carotidarteries) and plug occlusion of leftsubclavian artery.

1Epic 14x60mm

Advanta V127x59mm

Vascular Plug

Valiant Thoracic 36/32x150mm(1st stent graft)

2

Valiant Thoracic 32/32x100mm(2nd stent graft)

3

Final aortogram

4

Take Home MessageTEVAR in combination with chimneygraft technique is an efficacious andsafe non-surgical option for patientswith thoracic aortic aneurysm. In thispatient, Thoracic aortic aneurysm wassuccessfully sealed and the great vessels(brachiocephalic and left commoncarotid arteries) were preserved with nocomplications. Review 1 month laterrevealed regression of the aneurysmand recovery of voice.