1. Temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic vessels for hybrid repair of a ruptured aortic arch aneurysm.
- Author
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Joyeux F, Canaud L, Hireche K, Berthet JP, Marty-Ane C, and Alric P
- Subjects
- Aged, Aortic Aneurysm, Thoracic complications, Aortic Aneurysm, Thoracic diagnostic imaging, Aortic Aneurysm, Thoracic physiopathology, Aortic Rupture diagnostic imaging, Aortic Rupture etiology, Aortic Rupture physiopathology, Aortography methods, Cerebrovascular Circulation, Hematoma diagnostic imaging, Hematoma etiology, Hemodynamics, Humans, Male, Tomography, X-Ray Computed, Treatment Outcome, Aortic Aneurysm, Thoracic surgery, Aortic Rupture surgery, Blood Vessel Prosthesis Implantation, Endovascular Procedures, Perfusion methods
- 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., (Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.)
- Published
- 2011
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