title: Temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic vessels for hybrid repair of a ruptured aortic arch aneurysm.
abstract: Hybrid repair of ruptured aortic arch repair has been proposed as a valuable approach. However, the presence of an anterior mediastinal hematoma must be carefully detected because of the inherent risk of rupture at sternotomy. We report the case of a patient presenting a ruptured aortic arch aneurysm with anterior rupture who underwent hybrid repair using a temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic trunks. We propose this adjunctive technique as a means of allowing a safe endovascular exclusion of aortic arch lesions and avoiding the risk of acute and total aortic rupture in case of anterior rupture of aortic arch aneurysms.
authors.affiliation: Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France. fredjoyeux@gmail.com
authors.forename: Frederic
authors.initials: F
authors.lastname: Joyeux
authors.forename: Ludovic
authors.initials: L
authors.lastname: Canaud
authors.forename: Kheira
authors.initials: K
authors.lastname: Hireche
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Berthet
authors.forename: Charles
authors.initials: C
authors.lastname: Marty-Ane
authors.forename: Pierre
authors.initials: P
authors.lastname: Alric
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D002560:Cerebrovascular Circulation; D057510:Endovascular Procedures; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010477:Perfusion / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome