Temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic vessels for hybrid repair of a ruptured aortic arch aneurysm |
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Authors: | Joyeux Frederic Canaud Ludovic Hireche Kheira Berthet Jean-Philippe Marty-Ane Charles Alric Pierre |
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Institution: | Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France |
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Abstract: | Hybrid repair of ruptured aortic arch repair has been proposed as a valuable approach. However, the presence of an anterior mediastinal hematoma must be carefully detected because of the inherent risk of rupture at sternotomy. We report the case of a patient presenting a ruptured aortic arch aneurysm with anterior rupture who underwent hybrid repair using a temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic trunks. We propose this adjunctive technique as a means of allowing a safe endovascular exclusion of aortic arch lesions and avoiding the risk of acute and total aortic rupture in case of anterior rupture of aortic arch aneurysms. |
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