AUTHOR=Bakoyiannis Chris , Moris Demetrios , Karaolanis George , Patelis Nikolaos , Schizas Dimitrios , Georgopoulos Sotirios , Liakakos Theodoros 

TITLE=Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure

JOURNAL=Frontiers in Surgery

VOLUME=3

YEAR=2016

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2016.00062

DOI=10.3389/fsurg.2016.00062

ISSN=2296-875X

ABSTRACT=<p>Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed.</p>