Document Detail

Endovascular repair of a ruptured descending thoracic aortic aneurysm in a patient with an ascending aortic aneurysm: hybrid open arch reconstruction with simultaneous thoracic stent-graft deployment within elephant trunk.
MedLine Citation:
PMID:  18346569     Owner:  NLM     Status:  MEDLINE    
Endovascular repair of the thoracic aorta is now widely practiced. The extension of this technique to emergent settings is in evolution. Pathology of the ascending and transverse aortic arch may preclude thoracic aortic stent grafting due to the lack of a proximal seal zone. Several hybrid open/endovascular approaches have been described. We recently encountered the difficult case of a contained rupture of a 6.8 cm descending thoracic aortic aneurysm in a 60-year-old patient with aneurysmal degeneration of the ascending and transverse aortic arch. This patient was treated with a hybrid approach of open ascending and transverse arch reconstruction along with simultaneous stent-graft repair of the descending thoracic aorta. The open repair established an excellent proximal landing zone by use of the "elephant trunk" technique. This technique also allowed direct suture fixation of the stent graft to the arch graft to prevent stent-graft migration. This hybrid surgical approach was successful and avoided the cumulative morbidity that a left thoracoabdominal approach would have added to the sternotomy. Further creative uses of these hybrid techniques will undoubtedly serve a larger role in the treatment of thoracic aortic pathology.
Ahmed M Abou-Zamzam; Wayne Zhang; Nan Wang; Anees Razzouk
Related Documents :
18439439 - Thoracic aortic aneurysm: reading the enemy's playbook.
6729709 - Penetrating peptic ulcer and aortic aneurysm with aortogastric fistula.
17683959 - Spinal cord ischemia after endovascular repair of the descending thoracic aorta in a sh...
9714029 - Veno-venous extracorporeal lung assist with concurrent distal aortic perfusion: repair ...
16863759 - One-stage total or subtotal aortic replacement.
17349349 - Preliminary retrograde visceral artery reconstruction for thoracoabdominal aortic aneur...
2929399 - Variceal transformation of the subendocardial microvasculature in regions of chronic my...
15902829 - Penetrating aortic ulcers after absorption of intramural hematoma.
12147879 - Successful transcatheter retrieval of an embolized stent from the left ventricle.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  22     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-18     Completed Date:  2008-07-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  168-72     Citation Subset:  IM    
Division of Vascular Surgery, Department of Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortic Rupture / radiography,  surgery*
Blood Vessel Prosthesis Implantation* / methods
Middle Aged
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Evaluating Mindfulness-Based Stress Reduction: analyzing stories of stress to formulate focus group ...
Next Document:  Carotid reconstruction in nonagenarians: is surgery a viable option?