Coronary and arch hybrid surgery in a patient with infrarenal aortic occlusion

Abstract

A 65-year-old gentleman with claudication underwent contrast-enhanced computed tomography. The scan showed occlusion of the infrarenal abdominal aorta and a 6.0 × 3.7 cm saccular zone-3 arch aneurysm. The left ventricular ejection fraction was 35% and a coronary angiogram revealed triple-vessel disease. In view of the patient's high risk with EuroSCORE II 20.34%, coronary artery surgery was combined with hybrid type I arch aneurysm repair. An endovascular stent was delivered in an antegrade manner. Open heart surgery and a hybrid type I arch intervention can be performed simultaneously through a midline sternotomy approach.

Advantage of Steerable Catheter and Haptic Feedback for a 5-DOF Vascular Intervention Robot System

“…The catheter-based approach is an important and common method for treating vascular and cardiac disease. Application of the catheter-based technique has grown from simple stenting to complex aortic and valve procedures [1][2][3]. Vascular interventional radiology (VIR) is used to diagnose and treat diseases in the vascular system by using several vascular tools, such as catheters and guidewires.…”