title: Synchronous hybrid repair for ruptured aneurysm of bovine aortic arch.
abstract: Rupture of an aortic arch aneurysm is a life-threatening emergency with the risk of mortality escalating by the hour. We describe the successful hybrid repair of a ruptured bovine aortic arch aneurysm in a 75-year-old man, which involved aortic arch debranching by ascending aorta-bicarotid bypass followed by relining of the aortic lumen with a stent-graft. The procedure was not only lifesaving but also resulted in an active gentleman at 2-year follow-up. Considering the morbidity and mortality of open surgery using circulatory arrest, state-of-the-art synchronous hybrid repair seems to be an effective alternative for ruptured aortic arch aneurysms.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic & Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
authors.forename: Sidharth
authors.initials: S
authors.lastname: Viswanathan
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic & Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
authors.forename: Ajay
authors.initials: A
authors.lastname: Savlania
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic & Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Agrawal
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic & Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
authors.forename: Shashidhar Kallapa
authors.initials: SK
authors.lastname: Parameshwarappa
authors.affiliation: Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
authors.forename: Kapilamoorthy Tirur
authors.initials: KT
authors.lastname: Raman
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiothoracic & Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India unni@sctimst.ac.in.
authors.forename: Unnikrishnan
authors.initials: U
authors.lastname: Madathipat
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic arch aneurysm; aortic stent graft; arch debranching; vascular prosthesis