Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique.
Ruptured Penetrating Ulcer and aortic arch pseudo-aneurysm is a rare condition but one which carries a high risk of rupture. We report the case of a 74-year-old man with aortic arch pseudo-aneurysm, in which a Frozen Elephant Trunk procedure was successfully performed. There were no postoperative complications at 6 months follow-up. The Computed Tomography Angiogram demonstrated thrombus formation in the pseudo-aneurysm lumen, with no endoleak on the stented part of the descending thoracic aorta and complete patency of all branches of aortic arch. This case demonstrates that the Frozen Elephant Trunk technique may be the treatment of choice when treating such complex aortic arch lesions provided there is no absolute contraindication to radical surgical intervention. However, long-term clinical efficacy and safety have yet to be confirmed.
John
J
Kokotsakis
Dimitrios
D
Tassopoulos
Jacob
J
Ttofi
Leanne
L
Harling
Hutan
H
Ashrafian
Konstantinos
K
Velissarios
Theodore
T
Kratimenos
Stratos
S
Anagnostou
Department of Surgery and Cancer, Imperial College London, 10th Floor QEQM Building, St Mary's Hospital Praed Street, London W2 1NY, UK. t.athanasiou@imperial.ac.uk.
Thanos
T
Athanasiou
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D014456:Ulcer / Q000150:complications / Q000601:surgery*