Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular · 2013
[Endovascular management of a thoracoabdominal aortic aneurysm in a chronic contained rupture using the "Sandwich technique"].
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Vasconcelos João, Lobo Miguel, Martins Victor, Gouveia Ricardo, Campos Jacinta, Sousa Pedro, Canedo Alexandra
Аннотация
OBJECTIVE: The authors report the prompt diagnosis and endovascular treatment with the "Sandwich" technique of a chronic contained rupture of a thoracoabdominal aortic aneurysm in an unfit patient for open surgery.
METHODS: A 57-year-old male patient with severe pulmonar and cardiac comorbilities presented at the emergency department with a contained rupture of a type V thoracoabdominal aneurysm, involving the celiac axis. A "Sandwich" technique was performed deploying a ViaBahn graft through a transbrachial access interlayed by two Gore TAG endoprothesis.
RESULTS: At the term of the 1st month of follow-up, no endoleaks were observed.
DISCUSSION: An impending ruptured thoracoabdominal aortic aneurysm was successfully excluded using the "Sandwich" technique, in a patient unfit for the conventional open correction.
METHODS: A 57-year-old male patient with severe pulmonar and cardiac comorbilities presented at the emergency department with a contained rupture of a type V thoracoabdominal aneurysm, involving the celiac axis. A "Sandwich" technique was performed deploying a ViaBahn graft through a transbrachial access interlayed by two Gore TAG endoprothesis.
RESULTS: At the term of the 1st month of follow-up, no endoleaks were observed.
DISCUSSION: An impending ruptured thoracoabdominal aortic aneurysm was successfully excluded using the "Sandwich" technique, in a patient unfit for the conventional open correction.