title: Emergency one-stage hybrid surgery for ruptured aneurysm of the distal aortic arch.
abstract: Rupture of an aortic arch aneurysm is a life-threatening condition that requires emergency operation. For rupture of a distal arch aneurysm, we performed--with the patient under total circulatory arrest--an emergency total arch replacement with an elephant-trunk procedure, followed by one-stage antegrade stent-grafting. Prompt institution of cardiopulmonary bypass and total circulatory arrest has the advantage of lessening the risk of overt aortic rupture in this emergency situation.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Sejong Heart Institute, Sejong General Hospital, Bucheon, Republic of Korea. jaemax31@gmail.com
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Kim
authors.forename: Jin Sung
authors.initials: JS
authors.lastname: Yang
authors.forename: Sam Sae
authors.initials: SS
authors.lastname: Oh
authors.forename: Chan-Young
authors.initials: CY
authors.lastname: Na
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / 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; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D004630:Emergencies; D057510:Endovascular Procedures; D006323:Heart Arrest; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aorta, thoracic/surgery; aortic aneurysm, thoracic/surgery; aortic arch/surgery; aortic rupture/surgery; blood vessel prosthesis implantation/methods; endovascular procedures; stents
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