Application of fenestration technique in the treatment of aortic arch disease

Objective Assessment of fenestration in the aortic arch disease. Methods 13 patients with aortic arch disease underwent fenestration operation to reconstruct affiliated vessels, aortic arch aneurysm in 5 patients, aortic anch ulcer in 4, Ⅲ type aortic dissection in 3 and Ⅰ type leakage after aortic stent graft in 1 patient. All patieuts were divided into 2 groups. 8 patients in pre-fenestration group, 5 patients in in-situ fenestration group. Only left subclavian artery was rebuilded in 9 patients, both left carotid common artery and left subclavian artery were rebuilded in 3 patients, all three affiliated vessels of arch were rebuilded in 1 patient. Results Branch vessels of aortic arch were successfully rebuilded in all 13 patients. There were no endoleak, stenosis of branch vessels, graft diaplacement or deaths peri-operative period. During follow-up, no postoperative complications occurred and all target vessels remained patent. No fenestration related endoleaks were observed. Conclusion Fenestration may be a viable alternative for patients with aortic arch disease. Key words: Fenestration; Aortic diseases