title: Hybrid Repair of Ruptured Arch Aneurysm Without Sternotomy Through an Unusual Extraanatomic Bypass.
abstract: A 42-year-old man experienced a complex aortic arch aneurysm rupture. He had previously undergone an operation for type A dissection and had extremely poor cardiac performance as well as deep sternal infection after the first procedure. The conventional open repair was considered to be a high risk for this patient. We therefore performed an alternative hybrid aortic procedure. The supraarch vessels were perfused through an extraanatomic bypass from an unusual and remote route, namely, the abdominal aorta. Then, stent grafts were implanted in the previously replaced aortic prostheses to exclude the aortic aneurysm. The patient recovered uneventfully with no neurologic adverse events.
authors.affiliation: Section of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan. Electronic address: sevilla1001@yahoo.com.tw.
authors.forename: Chung-Lin
authors.initials: CL
authors.lastname: Tsai
authors.affiliation: Section of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Chih-Chun
authors.initials: CC
authors.lastname: Yang
authors.affiliation: Section of Cardiovascular Surgery, Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Fujikawa
authors.affiliation: Section of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Shih-Rong
authors.initials: SR
authors.lastname: Hsieh
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D056346:Sternotomy; D014057:Tomography, X-Ray Computed