title: Hybrid approach to treat total thoracic aortic aneurysm in a patient undergoing emergency surgery for descending aortic rupture.
abstract: Rupture of the descending aorta is a life-threatening complication requiring emergency intervention. The endovascular approach (TEVAR) has been recently introduced to treat the descending aorta in the emergency setting, resulting in better early postoperative outcome as compared with traditional surgery. However, when the pathology involves the aortic arch and ascending aorta, TEVAR alone cannot be performed, requiring an alternative approach. We describe a one-stage hybrid repair via midline sternotomy to treat rupture of the descending thoracic aortic segment in toto.
authors.affiliation: Cardiac Surgery Unit, Policlinico Tor Vergata, Univ. Tor Vergata, Rome, Italy.
authors.forename: Jacob
authors.initials: J
authors.lastname: Zeitani
authors.forename: Charles
authors.initials: C
authors.lastname: Mve Mvondo
authors.forename: Charles Mve
authors.initials: CM
authors.lastname: Mvondo
authors.forename: Giovanni
authors.initials: G
authors.lastname: Chiariello
authors.forename: Paolo
authors.initials: P
authors.lastname: Nardi
authors.forename: Luigi
authors.initials: L
authors.lastname: Chiariello
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D004630:Emergencies; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome