Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment

<p>Abstract</p> <p>Ruptured aortic arch aneurysm is a life threatening disease. Surgical repair has an high perioperative mortality rate and totally endovascular treatment is a challenge. Hybrid repair has been proposed as a valuable approach. We report the case of a patient with a...

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Bibliographic Details
Main Authors: Settembrini Alberto, Mazzaccaro Daniela, Stegher Silvia, Occhiuto Maria, Malacrida Giovanni, Nano Giovanni
Format: Article
Language:English
Published: BMC 2012-07-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/7/1/66
Description
Summary:<p>Abstract</p> <p>Ruptured aortic arch aneurysm is a life threatening disease. Surgical repair has an high perioperative mortality rate and totally endovascular treatment is a challenge. Hybrid repair has been proposed as a valuable approach. We report the case of a patient with a contained rupture of aortic arch aneurysm. We treated him with a debranching of supraortic vessels with carotid-carotid and carotid-subclavian bypass and deployment of two enodgrafts in two different times. We consider hybrid treatment for arch and hemiarch a feasible option for aortic arch aneurysms in non emergent and in an emergency setting with an improvement in perioperative morbidity and mortality.</p>
ISSN:1749-8090