Hybrid endovascular pseudoaneurysm and pulmonary stenosis repair in bovine arch.
This case report details the endovascular management of a large aortic pseudoaneurysm in a high-risk patient with a complicated history using a multi-disciplinary, hybrid approach. The pseudoaneurysm compressed the main pulmonary artery to 5 mm with near complete obstruction of the left main pulmonary artery, while also compromising the lumens of the left superior pulmonary vein and left main bronchus. Furthermore, the patient's left upper extremity arteriovenous dialysis fistula and bovine arch anatomy required a hybrid approach of repair that preserved the fistula while treating the aortic, pulmonary, and bronchial pathology.
Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonia, Texas 78240, USA.
Venkatapuram Seenu
VS
Reddy
Jeffrey D
JD
McNeil
Matthew W
MW
Crozier
Tyler L
TL
Bloomer
Helen Marie
HM
Merritt
Jorge E
JE
Lopera
D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed