Peer-reviewedCC BYJournal of vascular surgery cases and innovative techniques
Thoracic endovascular aortic repair-first hybrid repair without thoracotomy for type V thoracoabdominal aortic aneurysm
- 1The Jikei University School of Medicine, Tokyo, Japan
- 2Division of Vascular Surgery, Department of Surgery, the Jikei University School of Medicine, Tokyo, Japan
Abstract
We report a case of type V thoracoabdominal aortic aneurysm treated using two-stage hybrid repair. A 47-year-old man had a history of left nephrectomy for hydronephrosis in early childhood, Takayasu arteritis, and total arch replacement for ascending aortic aneurysm. He first underwent zone 4 thoracic endovascular aortic repair, followed by open surgery for the thoracoabdominal aortic aneurysm without thoracotomy. The previously deployed stent graft served as the proximal clamping site, enabling the proximal anastomosis to be performed below the diaphragm. This hybrid approach enabled surgical repair without thoracoabdominal incision or diaphragmotomy, which are known to cause short- and long-term side effects.
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BibTeX
@article{fukunaga2026thoracic,
title = {{Thoracic endovascular aortic repair-first hybrid repair without thoracotomy for type V thoracoabdominal aortic aneurysm}},
author = {Reo Fukunaga and Takao Ohki and Kota Shukuzawa and Hirotsugu Ozawa and Kentaro Kasa and Ryo Nishide and Daisuke Yamagishi},
journal = {Journal of vascular surgery cases and innovative techniques},
year = {2026},
month = sep,
doi = {10.1016/j.jvscit.2026.102523},
url = {https://europepmc.org/article/PMC/PMC13717101},
note = {CC BY},
}
RIS
TY - JOUR
TI - Thoracic endovascular aortic repair-first hybrid repair without thoracotomy for type V thoracoabdominal aortic aneurysm
AU - Reo Fukunaga
AU - Takao Ohki
AU - Kota Shukuzawa
AU - Hirotsugu Ozawa
AU - Kentaro Kasa
AU - Ryo Nishide
AU - Daisuke Yamagishi
PY - 2026
DA - 2026/09/19
JO - Journal of vascular surgery cases and innovative techniques
DO - 10.1016/j.jvscit.2026.102523
UR - https://europepmc.org/article/PMC/PMC13717101
AB - We report a case of type V thoracoabdominal aortic aneurysm treated using two-stage hybrid repair. A 47-year-old man had a history of left nephrectomy for hydronephrosis in early childhood, Takayasu arteritis, and total arch replacement for ascending aortic aneurysm. He first underwent zone 4 thoracic endovascular aortic repair, followed by open surgery for the thoracoabdominal aortic aneurysm without thoracotomy. The previously deployed stent graft served as the proximal clamping site, enabling the proximal anastomosis to be performed below the diaphragm. This hybrid approach enabled surgical repair without thoracoabdominal incision or diaphragmotomy, which are known to cause short- and long-term side effects.
SN - 2468-4287
ER -