Thorac Cardiovasc Surg 2013; 61(07): 594-596
DOI: 10.1055/s-0033-1333895
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Georg Thieme Verlag KG Stuttgart · New York

Hybrid Approach to Treat Total Thoracic Aortic Aneurysm in a Patient Undergoing Emergency Surgery for Descending Aortic Rupture

Jacob Zeitani
1   Cardiac Surgery Unit, Policlinico Tor Vergata, Univ. Tor Vergata, Rome, Italy
,
Charles Mve Mvondo
1   Cardiac Surgery Unit, Policlinico Tor Vergata, Univ. Tor Vergata, Rome, Italy
,
Giovanni Chiariello
1   Cardiac Surgery Unit, Policlinico Tor Vergata, Univ. Tor Vergata, Rome, Italy
,
Paolo Nardi
1   Cardiac Surgery Unit, Policlinico Tor Vergata, Univ. Tor Vergata, Rome, Italy
,
Luigi Chiariello
1   Cardiac Surgery Unit, Policlinico Tor Vergata, Univ. Tor Vergata, Rome, Italy
› Author Affiliations
Further Information

Publication History

04 December 2012

20 December 2012

Publication Date:
12 April 2013 (online)

Abstract

Rupture of the descending aorta is a life-threatening complication requiring emergency intervention. The endovascular approach (TEVAR) has been recently introduced to treat the descending aorta in the emergency setting, resulting in better early postoperative outcome as compared with traditional surgery. However, when the pathology involves the aortic arch and ascending aorta, TEVAR alone cannot be performed, requiring an alternative approach. We describe a one-stage hybrid repair via midline sternotomy to treat rupture of the descending thoracic aortic segment in toto.

 
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