Chronic False Aneurysm after a Healed Rupture of the Aortic Isthmus: TEVAR, Hybrid Surgery, or Open Arch Repair?

Abstract:

:We report a case of post-traumatic chronic false aneurysm of the aortic isthmus in a 34-year-old man who had been involved in a car accident 10 years earlier. An initial chest X-ray demonstrated a calcified mass in the upper mediastinum and computed tomography scan revealed a false aneurysm of the aortic isthmus arising above the left subclavian artery. Partial covered rupture of the aorta is not always easy to diagnose and can remain clinically silent in a polytrauma patient. The duration from rupture to false aneurysm formation may extend over many years. This chronic lesion can be managed by surgery, by an endovascular procedure, or by a combined procedure. This case report highlights the current therapeutic approach. A debranching procedure was done in view of a secondary exclusion of the huge false aneurysm by a stent graft. Unfortunately, the false aneurysm ruptured during the procedure and a replacement of the aortic arch and the isthmus under total circulatory arrest was successfully done. The patient was doing well at 9-month follow-up.

journal_name

Ann Vasc Surg

authors

Nizet C,Van Damme H,Boesmans E,Lavigne JP,Creemers E,Defraigne JO

doi

10.1016/j.avsg.2015.07.048

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

205.e11-6

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(15)00845-6

journal_volume

31

pub_type

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