Temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic vessels for hybrid repair of a ruptured aortic arch aneurysm.

Abstract:

:Hybrid repair of ruptured aortic arch repair has been proposed as a valuable approach. However, the presence of an anterior mediastinal hematoma must be carefully detected because of the inherent risk of rupture at sternotomy. We report the case of a patient presenting a ruptured aortic arch aneurysm with anterior rupture who underwent hybrid repair using a temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic trunks. We propose this adjunctive technique as a means of allowing a safe endovascular exclusion of aortic arch lesions and avoiding the risk of acute and total aortic rupture in case of anterior rupture of aortic arch aneurysms.

journal_name

J Vasc Surg

authors

Joyeux F,Canaud L,Hireche K,Berthet JP,Marty-Ane C,Alric P

doi

10.1016/j.jvs.2011.03.271

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1145-7

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(11)00818-4

journal_volume

54

pub_type

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