title: Hybrid endovascular operation for ruptured thoracic aortic aneurysm.
abstract: 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.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Queen Mary Hospital, University of Hong Kong.
authors.forename: P
authors.initials: P
authors.lastname: Ho
authors.forename: Stephen W K
authors.initials: SW
authors.lastname: Cheng
authors.forename: Albert C W
authors.initials: AC
authors.lastname: Ting
authors.forename: Jensen T C
authors.initials: JT
authors.lastname: Poon
authors.forename: Lawrence H L
authors.initials: LH
authors.lastname: Liu
mesh_terms: 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
chemical_list: D011138:Polytetrafluoroethylene