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CC BY 4.0 · Aorta (Stamford) 2015; 03(01): 41-45
DOI: 10.12945/j.aorta.2015.14-044
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U-Shape Kissing Chimney Thoracic Endovascular Aneurysm Repair for a Traumatic Arch Rupture in a Polytraumatized Patient

Jeroen M. H. Hendriks
1   Department of Thoracic & Vascular Surgery, Antwerp University Hospital, Antwerp, Belgium
,
Tim Brits
1   Department of Thoracic & Vascular Surgery, Antwerp University Hospital, Antwerp, Belgium
,
Thijs Van der Zijden
2   Department of Interventional Radiology, Antwerp University Hospital, Antwerp, Belgium
,
Koen Monsieurs
3   Department of Emergency Medicine, Antwerp University Hospital, Antwerp, Belgium
,
Dina de Bock
4   Department of Cardiac Surgery, Antwerp University Hospital, Antwerp, Belgium
,
Rudi De Paep
5   Intensive Care Department, Antwerp University Hospital, Antwerp, Belgium
› Author Affiliations
Further Information

Publication History

29 July 2014

31 October 2014

Publication Date:
24 September 2018 (online)

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Abstract

An 18-year-old male patient was admitted to our hospital because of a high impact trauma. A computed tomography scan showed massive mediastinal bleeding due to a posteriorly located rupture of the aortic arch with formation of a pseudoaneurysm. Although urgent repair was indicated, open cardiac surgery was not feasible, as this would involve full heparinization in a patient with subarachnoid bleeding. The chosen solution was to perform a percutaneous thoracic endovascular aneurysm repair (TEVAR) and a kissing chimney procedure using a U-shape configuration.

Key Words

Aortic Arch Rupture - Percutaneous TEVAR - Chimney
 

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