title: Hybrid approach for the treatment of thoracic aortic arch aneurysm in a patient with chronic obstructive lung disease and retrosternal adhesion.
abstract: A 73-year-old woman with a history of chronic hypertension and severe chronic obstructive pulmonary disease, presented to a district general hospital with thoracic pain in a profound state of shock. She was diagnosed with cardiac tamponade, severe mitral regurgitation, and Stanford type A (Debakey type I) intramural hematoma. Her ascending aorta was of a significant size and therefore emergent repair was done to replace the ascending aorta and mitral valve. After 6 months, an increased aneurysmal size of 6.0 cm was observed in a follow up contrast-enhanced computed tomography angiography. The patient was successfully treated by a staged hybrid procedure involving initial supra-aortic reconstruction.
authors.affiliation: Division of Cardiology, Eulji University Hospital, Daejeon, Korea.
authors.forename: Ki Bang
authors.initials: KB
authors.lastname: Kim
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Kim
authors.forename: Jin Ho
authors.initials: JH
authors.lastname: Choi
authors.forename: Jeong Hee
authors.initials: JH
authors.lastname: Kim
authors.forename: Yu Jeong
authors.initials: YJ
authors.lastname: Choi
authors.forename: Kyung Tae
authors.initials: KT
authors.lastname: Jeong
authors.forename: Sun Chang
authors.initials: SC
authors.lastname: Park
authors.forename: Sahng
authors.initials: S
authors.lastname: Lee