title: U-Shape Kissing Chimney Thoracic Endovascular Aneurysm Repair for a Traumatic Arch Rupture in a Polytraumatized Patient.
abstract: An 18-year-old male patient was admitted to our hospital because of a high impact trauma. A computed tomography scan showed massive mediastinal bleeding due to a posteriorly located rupture of the aortic arch with formation of a pseudoaneurysm. Although urgent repair was indicated, open cardiac surgery was not feasible, as this would involve full heparinization in a patient with subarachnoid bleeding. The chosen solution was to perform a percutaneous thoracic endovascular aneurysm repair (TEVAR) and a kissing chimney procedure using a U-shape configuration.
authors.affiliation: Department of Thoracic & Vascular Surgery, Antwerp University Hospital, Antwerp, Belgium.
authors.forename: Jeroen M H
authors.initials: JM
authors.lastname: Hendriks
authors.affiliation: Department of Thoracic & Vascular Surgery, Antwerp University Hospital, Antwerp, Belgium.
authors.forename: Tim
authors.initials: T
authors.lastname: Brits
authors.affiliation: Department of Interventional Radiology, Antwerp University Hospital, Antwerp, Belgium.
authors.forename: Thijs
authors.initials: T
authors.lastname: Van der Zijden
authors.affiliation: Department of Emergency Medicine, Antwerp University Hospital, Antwerp, Belgium.
authors.forename: Koen
authors.initials: K
authors.lastname: Monsieurs
authors.affiliation: Department of Cardiac Surgery, Antwerp University Hospital, Antwerp, Belgium.
authors.forename: Dina
authors.initials: D
authors.lastname: de Bock
authors.affiliation: Intensive Care Department, Antwerp University Hospital, Antwerp, Belgium.
authors.forename: Rudi
authors.initials: R
authors.lastname: De Paep
keywords: Aortic Arch Rupture; Chimney; Percutaneous TEVAR