| Autor: |
Anja Osswald, Heinz Jakob, Rolf-Alexander Jánosi, Thomas Schlosser, Konstantinos Tsagakis |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Annals of Vascular Surgery - Brief Reports and Innovations, Vol 4, Iss 1, Pp 100263- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2772-6878 |
| DOI: |
10.1016/j.avsurg.2024.100263 |
| Popis: |
We present a case of a 62-year-old male patient with chronic distal aortic arch aneurysm causing recurrent nerve palsy and prolonged total occlusion of the left main pulmonary artery (PA). During diagnostic work up, the aneurysm ruptured requiring cardio-pulmonary resuscitation (CPR) and emergency retrograde stenting. After circulatory stabilization the patient was treated with controlled hypothermia for 24 h, and successive extubation without neurological deficit.Postinterventional imaging revealed a reversed perfusion of the aneurysmal sac through the PA, prompting open surgical treatment. Surgery consisted of reconstruction of the left PA by pulmonary endarterectomy (PEA), xenopericardial patchplasty of the left PA and frozen elephant trunk (FET) repair after removal of the bare springs of the previously inserted Gore Tag stent graft. Pre-discharge computed tomography angiography (CTA) demonstrated a fully recanalized left PA system and a completely excluded aneurysm. At ten-year follow-up the patient presented physically unimpaired (NYHA I). CTA confirmed a fully intact thoracic aorta and improved pulmonary function despite persisting left recurrent nerve palsy. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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