Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment
1 First Unit of Vasular Surgery, Policlinico San Donato, Milano, Italy
2 Postgraduate School in Vascular Surgery, Milano, Italy
3 Università di Milano, Milano, Italy
Journal of Cardiothoracic Surgery 2012, 7:66 doi:10.1186/1749-8090-7-66Published: 10 July 2012
Ruptured aortic arch aneurysm is a life threatening disease. Surgical repair has an high perioperative mortality rate and totally endovascular treatment is a challenge. Hybrid repair has been proposed as a valuable approach. We report the case of a patient with a contained rupture of aortic arch aneurysm. We treated him with a debranching of supraortic vessels with carotid-carotid and carotid-subclavian bypass and deployment of two enodgrafts in two different times. We consider hybrid treatment for arch and hemiarch a feasible option for aortic arch aneurysms in non emergent and in an emergency setting with an improvement in perioperative morbidity and mortality.