Hybrid endovascular operation for ruptured thoracic aortic aneurysm.
The rupture of a thoracic aortic aneurysm is a life-threatening emergency. Conventional open surgical repair carries a high mortality and morbidity. We report an elderly patient who suffered from rupture of a proximal descending thoracic aortic aneurysm close to the aortic arch. A hybrid operation consisting of a right-to-left carotid bypass followed by endovascular repair of the descending thoracic aorta was carried out. The patient recovered uneventfully. A hybrid endovascular repair should be considered the treatment of choice for rupture of a thoracic aortic aneurysm near the arch.
Ho
P
P
Division of Vascular Surgery, Department of Surgery, Queen Mary Hospital, University of Hong Kong.
Cheng
Stephen W K
SW
Ting
Albert C W
AC
Poon
Jensen T C
JT
Liu
Lawrence H L
LH
D000368:Aged; D000714:Anastomosis, Surgical; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D017536:Carotid Artery, Common / Q000601:surgery*; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D015607:Stents
D011138:Polytetrafluoroethylene