Stent graft implantation for aneurysm of thoracic aorta with involvement of the origin of left subclavian and carotid arteries

Development in endovascular surgery made it possible to treat thoracic and abdominal aortic aneurysm by using catheter techniques. In 1990, Parodi performed the first unilateral stentgraft implantation after which a rapid progress commenced in this field. Since middle nineties, bifurcated stentgrafts have been brought into general use. In Hungary, stentgraft implantations have been performed in certain centers since 1999. The authors demonstrate a case operated on at the Department of Vascular Surgery, University of Pécs for aneurysm of thoracic aorta with involvement of the origin of left subclavian and carotid arteries. In order to maintain the flow in left carotid artery, right to left carotico-carotid interposition was shaped, then stentgraft implantation was carried out for the thoracic aneurysm. Preoperative investigations, surgical technique and postoperative follow up are discussed in this case report.