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

Michael Ibrahim, Roland Assi, Fenton McCarthy, Michael A Golden, Wilson Y Szeto

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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Copyright (c) 2019 Michael Ibrahim, Roland Assi, Fenton McCarthy, Michael A Golden, Wilson Y Szeto

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