Abstract
BACKGROUND: Repair of multiple thoracic aneurysms with vocal fold palsy represents a surgical challenge. Here, we present a case of multiple cervical and thoracic aortic aneurysms with right vocal fold palsy successfully treated with two-stage hybrid repair using retrograde in situ branched grafting. CASE PRESENTATION: A 52-year-old patient with multiple cervical and thoracic aortic aneurysms and right vocal fold palsy was treated using two-stage hybrid repair. Initially, the patient underwent an open partial arch replacement with reconstruction of the right subclavian, right common carotid, and left common carotid arteries. Three months after the initial procedure, the left subclavian artery was reconstructed during thoracic endovascular aortic repair with retrograde in situ stent grafting using the needle technique. The postoperative course was uneventful with no endoleaks detected using postoperative computed tomography. CONCLUSION: This case highlighted the potential of two-stage repair of multiple thoracic aneurysms using retrograde in situ stent grafting. With the expansion of surgical options to include endovascular and hybrid approaches, surgical procedures should be carefully planned for individuals with complex aortic diseases.