Hybrid procedure for a traumatic aortic rupture consisting of endovascular repair and minimally invasive arch vessel transposition without sternotomy.
Emergency surgical repair for acute traumatic aortic ruptures has been associated with a high peri-procedural mortality rate. Endovascular stent-grafting, as a less invasive procedure, has shown encouraging results. This report describes a patient with a short landing zone, who was treated by transposing the supra-aortic branch without sternotomy, followed by covered stent-grafting with an extended proximal bare portion to enhance fixation.
Ryu
Yang Gi
YG
Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center, Seoul, Korea.
Choo
Suk Jung
SJ
Lim
Ju Yong
JY
Yoon
Hyun Ki
HK
Chung
Cheol Hyun
CH
D000208:Acute Disease; D000368:Aged; D001019:Aortic Rupture / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D015607:Stents; D056346:Sternotomy; D013348:Subclavian Artery; D014057:Tomography, X-Ray Computed