title: An extra anatomic, close chest approach to manage an aortic arch aneurysm in an 88-year-old woman.
abstract: Repair of thoracic arch aneurysms in the octogenarian is associated with a high morbidity and mortality. In this report we describe a minimally invasive approach to repair and arch aneurysm using an endoluminal graft with an extrathoracic, extra anatomic de-branching of the arch vessels. The advantage of this technique includes avoidance of a median sternotomy, cardiopulmonary bypass, and circulatory arrest with a rapid postoperative recovery.
authors.affiliation: Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital, Arizona Heart Institute, Phoenix, Arizona 85006, USA. jkpodonu@azheart.com
authors.forename: Jacques
authors.initials: J
authors.lastname: Kpodonu
authors.forename: Mark D
authors.initials: MD
authors.lastname: Peterson
authors.forename: Leonardo
authors.initials: L
authors.lastname: Aquiar-Lucas
authors.forename: Julio A
authors.initials: JA
authors.lastname: Rodriguez-Lopez
authors.forename: Edward B
authors.initials: EB
authors.lastname: Diethrich
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D013249:Sternum / Q000601:surgery