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A Staged Hybrid Procedure to Manage Complex Cerebral Hypoperfusion in Aortic Arch Aneurysm
Author(s) -
Hernández Carbonell Teresa,
Haulon Stephan,
Prat Alain,
MartinGonzalez Teresa,
Tyrrell Mark R.,
Sobocinski Jonathan
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12630
Subject(s) - medicine , aneurysm , avulsion , presentation (obstetrics) , aortic arch , surgery , thoracic aortic aneurysm , collateral circulation , cerebral perfusion pressure , endovascular aneurysm repair , aortic aneurysm , perfusion , interrupted aortic arch , radiology , aorta , abdominal aortic aneurysm
A BSTRACT 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. doi: 10.1111/jocs.12630 (J Card Surg 2015;30:761–763)