Contained rupture of arch aneurysm managed with total arch, frozen elephant trunk and endograft

Authors

  • Michael Ibrahim Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia PA 19104, USA
  • Roland Assi Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia PA 19104, USA
  • Fenton McCarthy Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia PA 19104, USA
  • Michael A Golden Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia PA 19104, USA
  • Wilson Y Szeto Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia PA 19104, USA

DOI:

https://doi.org/10.21542/gcsp.2019.12

Abstract

We here describe a complex case of a 75-year-old man presenting with contained rupture of an aortic arch aneurysm in the presence of a second thoracic aortic aneurysm. He was managed with emergent total arch replacement with frozen elephant trunk. Another stent-graft was used to achieve hemostasis at the distal anastomosis. He later underwent TEVAR extension to manage his second aneurysm in a staged fashion. This case demonstrates a number of important concepts in the evolving interaction between open and endovascular therapies of the aortic arch, particularly in the emergent setting.

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Published

2019-07-20

Issue

Vol. 2019 No. 2 (2019)

Section

Images in cardiology

License

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.