title: Thoracic endovascular aortic repair with the chimney technique for blunt traumatic pseudoaneurysm of the aortic arch in a no-option patient.
abstract: A 42-year-old man was involved in a motor vehicle collision. Imaging studies revealed the presence of a post-traumatic aortic pseudo-aneurysm (about 34 × 26 cm) arising from the descending thoracic aorta at the level of the left subclavian artery (LSA), prone to rupture. Thoracic endovascular aneurysm repair (TEVAR) was the only feasible option due to his poor overall medical status. In this case, LSA needed to be covered in order to extend the proximal landing zone. Eventually, modified TEVAR was successfully performed by means of the chimney technique to preserve flow to the LSA and to prevent flow into the pseudoaneurysmal sac.
authors.affiliation: Divisions of Cardiology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Kim
authors.forename: Jin Ho
authors.initials: JH
authors.lastname: Choi
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Park
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
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D017541:Aneurysm, False; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery