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Published in: Journal of Cardiothoracic Surgery 1/2021

Open Access 01-12-2021 | Aneurysm | Case report

Novel hybrid treatment for extensive aortic arch aneurysms, a case report

Authors: Mixia Li, Hulin Piao, Yong Wang, Kexiang Liu

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

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Abstract

Background

The treatment for extensive aortic arch aneurysms involving the aortic arch and descending aorta is challenging for most cardiovascular surgeons. The surgical treatment is associated with a very high mortality rate. The optimal treatment has not been defined.

Case presentation

A 49-year-old male was hospitalized due to chest and upper back pain. Computed tomography angiography (CTA) demonstrated there was an extensive aortic arch aneurysm extending to the left common carotid artery and descending aorta. A novel single- stage hybrid surgery was performed on the patient through two steps: treatment of the aortic arch through median sternotomy and thoracic endovascular artery repair. The patient recovered uneventfully.

Conclusions

Our single-stage hybrid repair approach is safe, simple and effective. It provides an alternative treatment for extensive aortic arch aneurysms.
Literature
7.
go back to reference Kang WC, Shin EK, Park CH, Kang JM, Ko YG, Choi D, et al. Hybrid endovascular repair for aortic arch pathology: intermediate outcomes and complications: a retrospective analysis. Catheter Cardiovasc Interv. 2013;82(2):275–82. https://doi.org/10.1002/ccd.24384. Kang WC, Shin EK, Park CH, Kang JM, Ko YG, Choi D, et al. Hybrid endovascular repair for aortic arch pathology: intermediate outcomes and complications: a retrospective analysis. Catheter Cardiovasc Interv. 2013;82(2):275–82. https://​doi.​org/​10.​1002/​ccd.​24384.
Metadata
Title
Novel hybrid treatment for extensive aortic arch aneurysms, a case report
Authors
Mixia Li
Hulin Piao
Yong Wang
Kexiang Liu
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-021-01453-7

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