[A hybrid approach to surgery for thoracic aortic aneurysm].
A 57-year-old male, previously treated surgically with insertion of grafts for type A and B aortic dissection, presented with a pulsatile mass in the jugular fossa. Further examination verified a pseudoaneurysm the inlet of which was located at the proximal anastomotic site of the descending aortic graft and a newly developed aneurysm of the aortic arch. Using a left lateral thoracotomy to avoid manipulation of the pseudoaneurysm, we adopted a hybrid approach by first debranching the subclavian and carotid arteries from the descending aorta followed by endoluminal grafting of the aortic arch. The pseudoaneurysm was successfully excluded.
de la Motte
Louise
L
Gentofte Hospital, Karkirurgisk Afdeling. Louisedelamotte@dadlnet.dk
Baekgaard
Niels
N
Jensen
Leif Panduro
LP
Just
Sven
S
Olesen
Arne
A
Skøtt
Peter
P
D017541:Aneurysm, False / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002339:Carotid Arteries / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013348:Subclavian Artery / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*