Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment.
Ruptured aortic arch aneurysm is a life threatening disease. Surgical repair has an high perioperative mortality rate and totally endovascular treatment is a challenge. Hybrid repair has been proposed as a valuable approach. We report the case of a patient with a contained rupture of aortic arch aneurysm. We treated him with a debranching of supraortic vessels with carotid-carotid and carotid-subclavian bypass and deployment of two enodgrafts in two different times. We consider hybrid treatment for arch and hemiarch a feasible option for aortic arch aneurysms in non emergent and in an emergency setting with an improvement in perioperative morbidity and mortality.
Postgraduate School in Vascular Surgery, Milano, Italy. amsettembrini@gmail.com
Alberto
A
Settembrini
Daniela
D
Mazzaccaro
Silvia
S
Stegher
Maria Teresa
MT
Occhiuto
Giovanni
G
Malacrida
Giovanni
G
Nano
D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002339:Carotid Arteries / Q000601:surgery; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation; D058017:Vascular Grafting / Q000379:methods*