Off pump treatment of aortic arch rupture: extraanatomic hybrid reconstruction.
We present a possible alternative technique to treat the rupture of aortic arch aneurysms on beating heart without necessity of cardiopulmonary bypass (CPB), hypothermic circulatory arrest and cerebral protection, using a bifurcated vascular prosthesis to revascularize the subclavian and carotid arteries and an endovascular prosthesis to repair the aortic arch. We report the case of a 78-year-old woman successfully treated with this technique. Since in our institution endovascular prostheses are placed by the interventional cardiologists, the operation was done in cooperation between cardiac surgeons and interventional cardiologists.
Mangino
D
D
Cardiac Surgery Unit, Umberto I Hospital, Via Circonvallazione 50, 30174 Mestre, Venice, Italy. domenicomangino@libero.it
Terrini
A
A
Grassi
G
G
Zussa
C
C
D000368:Aged; D017542:Aneurysm, Ruptured / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002339:Carotid Arteries / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery; D005260:Female; D006801:Humans; D013348:Subclavian Artery / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000601:surgery