A Staged Hybrid Procedure to Manage Complex Cerebral Hypoperfusion in Aortic Arch Aneurysm.
We report the management of a patient who had an open-surgical repair following traumatic avulsion of the supra-aortic trunks (SAT) 30 years prior to presentation with a large arch aneurysm and poor cerebral collaterals. "Simple" thoracic endovascular aneurysm repair (TEVAR) was not an option because it would have excluded the collateral circulation to the carotid and vertebral arteries. We devised a two-stage hybrid procedure to repair this challenging aneurysm.
Aortic Centre, Hôpital Cardiologique, CHU Lille, France.|Department of Angiology and Vascular Surgery, University Hospital, Burgos, Spain.
Teresa
T
Hernández Carbonell
Aortic Centre, Hôpital Cardiologique, CHU Lille, France.
Stephan
S
Haulon
Aortic Centre, Hôpital Cardiologique, CHU Lille, France.
Alain
A
Prat
Aortic Centre, Hôpital Cardiologique, CHU Lille, France.
Teresa
T
Martin-Gonzalez
King's Health Partners, London, United Kingdom.
Mark R
MR
Tyrrell
Aortic Centre, Hôpital Cardiologique, CHU Lille, France.
Jonathan
J
Sobocinski
D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001921:Brain / Q000098:blood supply; D003097:Collateral Circulation; D057510:Endovascular Procedures / Q000379:methods*; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008297:Male; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D013898:Thoracic Injuries / Q000150:complications; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications