A Staged Hybrid Procedure to Manage Complex Cerebral Hypoperfusion in Aortic Arch Aneurysm.
作者信息
Hernández Carbonell Teresa, Haulon Stephan, Prat Alain, Martin-Gonzalez Teresa, Tyrrell Mark R, Sobocinski Jonathan
机构信息
Aortic Centre, Hôpital Cardiologique, CHU Lille, France.
Department of Angiology and Vascular Surgery, University Hospital, Burgos, Spain.
出版信息
J Card Surg. 2015 Oct;30(10):761-3. doi: 10.1111/jocs.12630. Epub 2015 Sep 2.
We report the management of a patient who had an open-surgical repair following traumatic avulsion of the supra-aortic trunks (SAT) 30 years prior to presentation with a large arch aneurysm and poor cerebral collaterals. "Simple" thoracic endovascular aneurysm repair (TEVAR) was not an option because it would have excluded the collateral circulation to the carotid and vertebral arteries. We devised a two-stage hybrid procedure to repair this challenging aneurysm.
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