Aortic Arch Resection and Ligation of the Descending Thoracic Aorta to Manage a Ruptured Thoracoabdominal Aneurysm

Thoracoabdominal aortic aneurysms (TAAAs) are treated traditionally with open surgical repair; however, selective, high-risk patients can be evaluated for an endovascular approach. If the TAAA is complicated by the presence of aortic rupture, open surgical intervention is conventionally the course of action. However, unlike the primary operation, reoperations of TAAA might necessitate less conventional approaches. We report a patient with a previously repaired, ruptured, acute type B aortic dissection, who presents with a contained rupture of a TAAA.