Contained rupture of arch aneurysm managed with total arch, frozen elephant trunk and endograft.


Journal

Global cardiology science & practice
ISSN: 2305-7823
Titre abrégé: Glob Cardiol Sci Pract
Pays: Qatar
ID NLM: 101613130

Informations de publication

Date de publication:
20 Sep 2019
Historique:
entrez: 5 12 2019
pubmed: 5 12 2019
medline: 5 12 2019
Statut: epublish

Résumé

We here describe a complex case of a 75-year-old man presenting with contained rupture of an aortic arch aneurysm in the presence of a second thoracic aortic aneurysm. He was managed with emergent total arch replacement with frozen elephant trunk. Another stent-graft was used to achieve hemostasis at the distal anastomosis. He later underwent TEVAR extension to manage his second aneurysm in a staged fashion. This case demonstrates a number of important concepts in the evolving interaction between open and endovascular therapies of the aortic arch, particularly in the emergent setting.

Identifiants

pubmed: 31799287
doi: 10.21542/gcsp.2019.12
pii: gcsp.2019.12
pmc: PMC6865198
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e201912

Informations de copyright

Copyright ©2019 The Author(s).

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Auteurs

Michael Ibrahim (M)

Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia, PA 19104, USA.

Roland Assi (R)

Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia, PA 19104, USA.

Fenton McCarthy (F)

Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia, PA 19104, USA.

Michael A Golden (MA)

Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia, PA 19104, USA.

Wilson Y Szeto (WY)

Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia, PA 19104, USA.

Classifications MeSH