Heart, lung & circulation · 2014
Hybrid repair of an aortic arch aneurysm rupture in a redo sternotomy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Nguyen Tam, Claydon Matthew, Marasco Silvana
Аннотация
PURPOSE: To report a case of operative intervention for an aortic arch aneurysm rupture via a hybrid approach.
METHODS AND RESULTS: Ten years after successful open repair of an acute type A aortic dissection a male presented with a rupture of his distal aortic arch aneurysm. A hybrid procedure was carried out which involved debranching of the innominate and left common carotid arteries and stent-graft deployment landing proximally into the ascending aorta and distally into the descending thoracic aorta.
CONCLUSIONS: Ruptured aortic arch aneurysms present a challenging and complex surgical dilemma. Open repair carries high mortality and pure endovascular repair is unfeasible; hence a hybrid repair presents an attractive solution.
METHODS AND RESULTS: Ten years after successful open repair of an acute type A aortic dissection a male presented with a rupture of his distal aortic arch aneurysm. A hybrid procedure was carried out which involved debranching of the innominate and left common carotid arteries and stent-graft deployment landing proximally into the ascending aorta and distally into the descending thoracic aorta.
CONCLUSIONS: Ruptured aortic arch aneurysms present a challenging and complex surgical dilemma. Open repair carries high mortality and pure endovascular repair is unfeasible; hence a hybrid repair presents an attractive solution.