Thoracic Endovascular Aneurysm Repair

Thoracic Endovascular Aneurysm Repair (TEVAR) is a recently developed treatment for patients with distal arch, descending or thoraco-abdominal aneurysms. Cedars-Sinai now offers this new approach and since late 2005, Cedars-Sinai surgeons have successfully repaired complex thoracic aortic aneurysms in high-risk patients using a minimally invasive catheter approach. X-ray and ultrasound are used by surgeons and radiologists to guide the delivery of a graft-covered stent within the aneurysm, through a small incision in the groin.

TEVAR is performed using a comprehensive team approach by experienced thoracic aortic surgery and interventional radiology teams at Cedars-Sinai. Team members involved include cardiothoracic surgeons, interventional radiologists, anesthesiologists, thoracic aortic nurse practitioner, cardiothoracic physician assistants, liaison nurses, and interventional technicians.

The image represents a post-operative 64-slice CT-angiogram of a 60-year-old male with a history of smoking, hypertension and saccular distal arch aneurysm who presented with chest pain. After a complete work up, he was found to have severe coronary artery disease requiring triple coronary artery bypass grafting using all arterial conduits. Three months later, he was successfully treated with a stent repair of his distal arch aneurysm using TEVAR.

For additional information about the TEVAR procedure, please contact us at 877-TASP MDS (877-827-7637).