title: [Endovascular management of a thoracoabdominal aortic aneurysm in a chronic contained rupture using the "Sandwich technique"].
abstract: OBJECTIVE
  The authors report the prompt diagnosis and endovascular treatment with the "Sandwich" technique of a chronic contained rupture of a thoracoabdominal aortic aneurysm in an unfit patient for open surgery.
  
  
  METHODS
  A 57-year-old male patient with severe pulmonar and cardiac comorbilities presented at the emergency department with a contained rupture of a type V thoracoabdominal aneurysm, involving the celiac axis. A "Sandwich" technique was performed deploying a ViaBahn graft through a transbrachial access interlayed by two Gore TAG endoprothesis.
  
  
  RESULTS
  At the term of the 1st month of follow-up, no endoleaks were observed.
  
  
  CONCLUSIONS
  An impending ruptured thoracoabdominal aortic aneurysm was successfully excluded using the "Sandwich" technique, in a patient unfit for the conventional open correction.
authors.affiliation: Serviço de Angiologia e Cirurgia Vascular do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Vasconcelos
authors.forename: Miguel
authors.initials: M
authors.lastname: Lobo
authors.forename: Victor
authors.initials: V
authors.lastname: Martins
authors.forename: Ricardo
authors.initials: R
authors.lastname: Gouveia
authors.forename: Jacinta
authors.initials: J
authors.lastname: Campos
authors.forename: Pedro
authors.initials: P
authors.lastname: Sousa
authors.forename: Alexandra
authors.initials: A
authors.lastname: Canedo
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged