title: Endovascular treatment of an early arch aneurysm rupture after open thoracoabdominal aortic repair.
abstract: Optimal treatment for synchronous aortic aneurysms is still debated. Staged repair is advocated as the standard of care. Its disadvantage however is the consistent risk of rupture of the untreated aortic segment during recovery; moreover a considerable percentage of patients either refuse the second stage or is lost to follow-up. We present the case of a patient with a ruptured aortic arch aneurysm after open-surgery for a type III thoracoabdominal aortic aneurysm. Our therapeutic decision is described and discussed, with all the related advantages and disadvantages.
authors.affiliation: Department of Vascular Surgery, Vita-Salute University, San Raffaele Scientific Institute Hospital, Milan, Italy - coppi.giovanni@hsr.it.
authors.forename: Enrico M
authors.initials: EM
authors.lastname: Marone
authors.forename: Giovanni
authors.initials: G
authors.lastname: Coppi
authors.forename: Germano
authors.initials: G
authors.lastname: Melissano
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged