Case report and review of the literature total endovascular repair of acute ascending aortic rupture: a case report and review of the literature
| Autor: | Nikhil Kansal, Dennis F. Bandyk, Karl K. Limmer, John McCallum, Anthony Perricone |
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| Rok vydání: | 2013 |
| Předmět: |
Aortic arch
Male medicine.medical_specialty Time Factors Aortic Rupture Aortography Aortic aneurysm Blood Vessel Prosthesis Implantation Aneurysm medicine.artery Ascending aorta medicine Thoracic aorta Humans Aortic rupture Aged Aortic dissection Hemothorax Aorta business.industry Endovascular Procedures Hemodynamics General Medicine medicine.disease Surgery Aortic Dissection Treatment Outcome cardiovascular system Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed |
| Zdroj: | Vascular and endovascular surgery. 47(5) |
| ISSN: | 1938-9116 |
| Popis: | Thoracic aortic endografting has been successfully implemented to treat aneurysmal disease of the distal aortic arch and descending thoracic aorta. Although there are reports of ascending aortic endovascular interventions, the total endovascular repair of a ruptured ascending aorta secondary to a Type A dissection has not been described. We report the case of a 77-year-old patient who presented with a ruptured ascending aortic aneurysm secondary to degeneration of a Stanford type A aortic dissection. His surgical history was significant for orthotropic heart transplant 19 years prior. The dissection, aneurysm, and rupture occurred in the native aorta distal to the ascending aortic suture line. At presentation, he was hemodynamically unstable with a right hemothorax. We placed 3 Medtronic Talent Thoracic Stent Graft devices (Medtronic Inc, Minneapolis, MN) across the suture line in the ascending aorta, excluding the rupture. The patient survived and has been followed to 25 months. |
| Databáze: | OpenAIRE |
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