Hybrid Endovascular Aortic Arch Reconstruction for Acute Aortic Dissection: An Endovascular Bridge Technique for Complex Anatomy
| Autor: | Michael P. Rogers, Sophie M. Reskin, Kendra J. Grubb, Matthew C. Black, Adam Ubert |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Aortic arch Computed Tomography Angiography Aorta Thoracic 030204 cardiovascular system & hematology Chest pain Aortography Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Humans Arch Ultrasonography Interventional Surgical repair Aortic dissection Aortic Aneurysm Thoracic business.industry Endovascular Procedures Hemodynamics General Medicine Anatomy medicine.disease Aortic Dissection Dissection Treatment Outcome medicine.anatomical_structure 030228 respiratory system Acute Disease cardiovascular system Deep hypothermic circulatory arrest Surgery medicine.symptom Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Vascular and Endovascular Surgery. 52:143-147 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574417747037 |
| Popis: | Acute type A aortic dissections starting at the arch pose a challenge for cardiac surgeons. Open surgical repair requires deep hypothermic circulatory arrest for arch reconstruction and is associated with significant morbidity and mortality. Hybrid aortic repair techniques, with open arch debranching and thoracic endovascular aortic repair, have been employed in high-risk cases and challenging aortic pathology. Herein, we present a case of a 33-year-old African American male with a history of open thoracoabdominal aortic reconstruction and femoral–femoral artery bypass for a type B dissection who subsequently presented with new-onset chest pain and was found to have a retrograde type A dissection of a bovine arch with multiple dissection flaps and possible contrast extravasation on chest computed tomography. Endovascular reconstruction of the aortic arch using a hybrid technique was utilized and proved to be feasible and further should be considered when complex anatomy limits traditional surgical options. |
| Databáze: | OpenAIRE |
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