¹Prashiddha Bikram Kadel, ²Uttam Krishna Shrestha , ³Kajan Raj Shrestha, ⁴Dinesh Gurung

¹,²,³,⁴Vascular Unit, Department of Cardiothoracic Vascular Center, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal

Thoracic endovascular aortic reconstruction (TEVAR) is increasingly used in the management of descending aortic pathology including aneurysms, dissections and transaction. When treating aortic arch pathology, hybrid procedures have been devised, in which major arch vessels are bypassed using a variety of techniques. Here we present a case of 48 years male, presented with shortness of breath and chest pain for 2 months. The Contrast enhanced computerized tomogram of chest showed multiple saccular outpouching at distal arch and mid descending aorta. He underwent hybrid procedure bypassing Innominate artery to left carotid and left subclavian artery followed by TEVAR covering the entire saccular aneurysm. His postoperative period was uneventful and is doing well till date.

Hybrid surgery, Saccular aneurysm, Thoracic aortic aneurysm

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VOLUME 04 ISSUE 11 NOVEMBER 2021