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Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia

Yuji Kawano1, Yuji Kanaoka2, Nobuhiko Hiraiwa1

  • 1Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.

Journal of Vascular Surgery Cases and Innovative Techniques
|January 20, 2018
PubMed

Celiac artery (CA) coverage during thoracic endovascular aortic repair has been demonstrated to be a feasible and effective strategy for selected cases. However, there is a potential risk of ischemic complications due to CA coverage in patients with certain types of hereditary hemorrhagic telangiectasia (HHT). Herein, we report a case of thoracoabdominal aortic rupture in a patient with HHT that was successfully treated with emergency thoracic endovascular aortic repair covering the CA preceded by hepatic artery bypass. We also review the hepatic circulatory derangements and unique considerations in the surgical management of HHT.

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