title: [A hybrid approach to surgery for thoracic aortic aneurysm].
abstract: 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.
authors.affiliation: Gentofte Hospital, Karkirurgisk Afdeling. Louisedelamotte@dadlnet.dk
authors.forename: Louise
authors.initials: L
authors.lastname: de la Motte
authors.forename: Niels
authors.initials: N
authors.lastname: Baekgaard
authors.forename: Leif Panduro
authors.initials: LP
authors.lastname: Jensen
authors.forename: Sven
authors.initials: S
authors.lastname: Just
authors.forename: Arne
authors.initials: A
authors.lastname: Olesen
authors.forename: Peter
authors.initials: P
authors.lastname: Skøtt
mesh_terms: 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*