Hybrid zone zero debranching thoracic endovascular aortic repair of ascending aortic injury after surgery and radiotherapy for breast cancer
Autor: | Noritoshi Minematsu, Hideichi Wada, Hiromitsu Teratani, Yoshio Hayashida, Yuta Sukehiro, Hitoshi Matsumura |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system Hybrid repair Sternum medicine.medical_treatment Aortic injury lcsh:Surgery 030204 cardiovascular system & hematology Aortic diseases 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Breast cancer medicine.artery Case report Ascending aorta Brachiocephalic artery Medicine Hemostasis business.industry lcsh:RD1-811 medicine.disease Surgery Radiation therapy medicine.anatomical_structure lcsh:RC666-701 cardiovascular system Breast neoplasms Cardiology and Cardiovascular Medicine business Thoracic wall |
Zdroj: | Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 1, Pp 93-96 (2021) Journal of Vascular Surgery Cases and Innovative Techniques |
ISSN: | 2468-4287 |
Popis: | Thoracic endovascular aortic repair of the ascending aorta remains challenging. We have reported the case of an 81-year-old woman with ascending aortic injury who underwent a life-saving hybrid repair. The patient had previously undergone extended radical mastectomy and postoperative radiotherapy for breast cancer, which had resulted in a right thoracic wall defect and bone exposure and osteonecrosis of the sternum. Therefore, the ascending aorta was directly compressed by the sternum at the level of the brachiocephalic artery bifurcation, causing persistent bleeding from the thoracic wall. Hybrid zone 0 debranching thoracic endovascular aortic repair with a left subclavian artery inflow was emergently performed and achieved hemostasis. |
Databáze: | OpenAIRE |
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