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
Jazyk: angličtina
Rok vydání: 2021
Předmět:
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