Hybrid aortic arch debranching and endovascular aneurysm repair for a thoracic aortic aneurysm impending rupture
Journal Title: Journal of Medical and Scientific Research - Year 2015, Vol 3, Issue 4
Abstract
An aortic aneurysm (AA) is an increase in diameter of at least 50% greater than expected for the same aortic segment in unaffected individuals of the same age and sex. It may be asymptomatic except when ruptured or impending rupture. When ruptured it is a life threatening emergency with a significant mortality. On presentation most thoracic AA are incidental findings found on routine work up for other causes or may present with vague back pain. We present one such case in whom a thoracic AA was incidentally detected during routine preoperative workup for squamous cell CA of the tongue. As the thoracic AA was impending rupture and the patient carried a high perioperative mortality risk with conventional aortic surgery, the patient was managed by the heart team with a hybrid technique involving an initial arch debranching surgery followed by endovascular aneurysm repair (EVAR) of the AA using three overlapping stent grafts.
Authors and Affiliations
Rajendra KP, Reddy SN, Sadiq MD, Vasanth K
Keywords
Related Articles
- EP ID EP608048
- DOI 10.17727/JMSR.2015/3-033
- Views 64
- Downloads 0
Early detection of breast cancer - Finding an ‘Indian solution to an Indian problem'
More than one million women worldwide are newly diagnosed with breast cancer annually. Worldwide, a woman dies of breast cancer every minute. In India well over 100, 000 women are newly diagnosed with breast cancer every...
Principles of eye management in Stevens- Johnson syndrome
Stevens-Johnson syndrome and toxic epidermal necrosis though rare, are important group of diseases where an ophthalmologist plays an important role in minimizing serious eye sequel and preserving vision. Medications are...
Co-relation of maternal risk factors and perinatal events with immediate neonatal outcome in late preterm compared to term small for gestational age babies
Objective: To establish co-relation of maternal risk factors and perinatal events with the immediate neonatal outcome in late preterm compared to term small for gestational age (SGA) babies. Method: This observational s...
Tumors and tumor like lesions of the patella - Pictorial essay
Focal lesions of patella are not infrequent. The patella is an uncommon location for neoplasms. The majority of tumors of the patella are benign, with a significant incidence of chondroblastoma and giant cell tumor. Othe...
Study of seasonal variations in the incidence of postoperative laryngospasm
Laryngospasm causes about 40% of post-extubation airway obstruction. The incidence of laryngospasm in paediatric population ranges from 0.04 to 14%. Despite advances in monitoring and in the standard of care in the pract...