title: [Successful endovascular repair with chimney graft technique and carotid artery bypass for ruptured aortic arch aneurysm].
abstract: An 83-year-old man with a decreasing level of consciousness was carried to the emergency room. Computed tomography (CT) revealed a ruptured aortic arch aneurysm. He was deemed a high risk candidate for conventional surgical repair. The case was treated by a hybrid approach. Endo-exclusion of thoracic aortic aneurysm (TAA) was obtained by implanting stentgrafts from the ascending to descending aorta. The brain circulation was maintained by right to left carotid and to left subcravian artery bypasses combined with" chimney endo-debranching graft" of the innominate artery. This could be a method of choice for the acute patients under similar circumstances.
authors.affiliation: Department of Vascular and Cardiac Surgery, Shizuoka Red Cross Hospital, Shizuoka, Japan.
authors.forename: Togo
authors.initials: T
authors.lastname: Norimatsu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mitsuoka
authors.forename: Tsunehiro
authors.initials: T
authors.lastname: Shintani
authors.forename: Takaaki
authors.initials: T
authors.lastname: Saito
authors.forename: Shigeki
authors.initials: S
authors.lastname: Higashi
mesh_terms: D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002339:Carotid Arteries / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000601:surgery