Urgent endovascular mycotic aortic arch aneurysm repair using in situ laser fenestration and selective arterial perfusion with venoarterial extracorporeal membrane oxygenation

Maysam Shehab; Kevin Mani; Marek Kuzniar; Shinji Miyamoto; Sten Lindgren; Anders Wanhainen

doi:10.1016/j.jvscit.2023.101345

Urgent endovascular mycotic aortic arch aneurysm repair using in situ laser fenestration and selective arterial perfusion with venoarterial extracorporeal membrane oxygenation

J Vasc Surg Cases Innov Tech. 2023 Oct 10;9(4):101345. doi: 10.1016/j.jvscit.2023.101345. eCollection 2023 Dec.

Authors

Maysam Shehab¹, Kevin Mani¹, Marek Kuzniar¹, Shinji Miyamoto², Sten Lindgren¹, Anders Wanhainen^{1

3}

Affiliations

¹ Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden.
² Department of Cardiovascular Surgery, Oita University, Oita, Japan.
³ Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.

Abstract

In recent years, mycotic aortic aneurysms have been increasingly treated successfully by endovascular means. The introduction of custom-made fenestrated and branched devices, parallel graft techniques, and in situ fenestration has enabled total endovascular treatment also for arch pathologies. We describe a total endovascular repair of a mycotic arch aneurysm with in situ laser fenestration using venoarterial extracorporeal membrane oxygenation to preserve flow to vital organs.

Keywords: Aortic arch; FTEVAR; In situ laser fenestration; Mycotic; Stroke; VA-ECMO.

Publication types

Case Reports