Successful Treatment of a Ruptured Aortic Arch Aneurysm Using a Hybrid Procedure

Choi, B.K.; Lee, Han Cheol; Lee, Hye Won; Park, Jin-Sup; Oh, Jun-Hyok; Kim, Sang-Pil; Soo, Kwang

doi:10.4070/kcj.2011.41.8.469

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…Endovascular procedures have been more commonly used for the treatment of aortic arch pseudoaneurysm recently. [ 2 , 14 , 18 , 19 ] Compared with conventional open surgery, endovascular stent-grafting is less invasive, without any dissection, and having less bleeding and a shorter procedural time and length of hospital stay. However, long-term clinical efficacy and safety of this operation have not been confirmed yet.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the aortic arch

Yao²,

Shang³

et al. 2016

Medicine

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Background:Pseudoaneurysm of the aortic arch is uncommonly associated with cancer, and is extremely rare in pulmonary cancer. Here, we report an unusual and successfully treated case of aortic arch pseudoaneurysm in a male patient with lung squamous cell carcinoma.Methods:A 64-year-old male patient was admitted to the Emergency Department, presenting with massive hemoptysis (>500 mL blood during the 12 hours prior to treatment). The diagnosis of aortic arch pseudoaneurysm was confirmed after inspection of computed tomographic angiography and three-dimensional reconstruction. We processed the immediate endovascular stent-grafting for this patient.Results:This patient recovered with no filling or enlargement of the pseudoaneurysm, no episodes of hemoptysis, and no neurological complications during the 4-week follow-up period.Conclusion:Herein, we compare our case with other cancer-related pseudoaneurysms in the medical literature and summarize the clinical features and treatment of this unusual case.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the aortic arch

Yao²,

Shang³

et al. 2016

Medicine

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“…Even though this is just a case report and data are still limited and larger series are required to extend hybrid procedure to lower risk patients in non emergent cases, we deem that in case of rupture of aortic hemiarch aneurysm hybrid procedure could be a safe and effective treatment [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment

Settembrini

Mazzaccaro

Stegher

et al. 2012

J Cardiothorac Surg

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Ruptured aortic arch aneurysm is a life threatening disease. Surgical repair has an high perioperative mortality rate and totally endovascular treatment is a challenge. Hybrid repair has been proposed as a valuable approach. We report the case of a patient with a contained rupture of aortic arch aneurysm. We treated him with a debranching of supraortic vessels with carotid-carotid and carotid-subclavian bypass and deployment of two enodgrafts in two different times. We consider hybrid treatment for arch and hemiarch a feasible option for aortic arch aneurysms in non emergent and in an emergency setting with an improvement in perioperative morbidity and mortality.

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“…This type of hybrid technique has also been shown to be successful with positive outcomes, as summarized in Table II. [26][27][28][29][30][31]63,64 On the other hand, this involves open surgery and transmural vascular manipulation, negating much of the advantage of endovascular repair on its own; therefore, various techniques have been developed to address this issue. As early as 2007, reports described "chimney" stenting (nicknamed "snorkel procedures") for repair of aortic arch TAA, in which selected aortic arch branches are stented separately on top of stent graft placement in the aortic arch.…”

Section: What Is the Future?mentioning

confidence: 99%

Current challenges in open versus endovascular repair of ruptured thoracic aortic aneurysm

Harky

Chan

Wong

et al. 2018

Journal of Vascular Surgery

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A ruptured thoracic aortic aneurysm is considered a surgical emergency; it is often fatal if it is not identified and managed immediately. Since the recognition of this clinical entity, open surgical repair has been the "gold standard" method of management. However, open surgical repair is associated with high morbidity and mortality rates. Among high-risk patients and as an alternative, thoracic endovascular repairs have since transpired, aiming to reduce the morbidity and mortality rates associated with open repair in a number of patients. The results of both treatment options are debatable, yet there is not a full concurrence on the advantages of endovascular repair in comparison to open repair as the gold standard method of managing such emergency cases, particularly ruptures involving the ascending and aortic arch. This literature review aimed to examine current literature evidence for the use of open or endovascular repair in the emergency setting of a ruptured thoracic aortic aneurysm.

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Successful Treatment of a Ruptured Aortic Arch Aneurysm Using a Hybrid Procedure

Cited by 6 publications

References 18 publications

Pseudoaneurysm of the aortic arch

Pseudoaneurysm of the aortic arch

Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment

Current challenges in open versus endovascular repair of ruptured thoracic aortic aneurysm

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