Direct Videoscopic Approach to the Descending Thoracic Aorta for Aortic Arch Endograft Delivery: Evaluation in a Porcine Model

2007 ◽  
Vol 14 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Matteus A. M. Linsen ◽  
Vincent Jongkind ◽  
Laurens Huisman ◽  
Kak K. Yeung ◽  
Jeroen Diks ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Porcine Model ◽  
Descending Thoracic Aorta

scholarly journals Treating the patient with acute rupture of penetrating atherosclerotic ulcer of the thoracic aorta

2015 ◽  
Vol 96 (3) ◽  
pp. 377-380
Author(s):  
I R Yagafarov ◽  
R R Sayfullin ◽  
M M Iskhakov ◽  
N V Gazizov ◽  
M G Khatypov ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Spontaneous Rupture ◽  
Open Surgery ◽  
Intraoperative Complications ◽  
Long Term Results ◽  
Safe Procedure ◽  
Descending Thoracic Aorta ◽  
Prosthetic Repair ◽  
Penetrating Atherosclerotic Ulcer

Spontaneous rupture of the aorta - a violation of the integrity of the aortic wall which is not caused by an aneurysm, trauma, dissection or disintegrating tumor process, and is an acute life-threatening condition. According to some authors, the main cause of spontaneous rupture of the aorta is a penetrating atherosclerotic ulcer of the aorta, which is an ulceration of aortic atherosclerotic plaque leading to penetration of the internal elastic plate in media. We present a case of successful hybrid surgical treatment of patient with spontaneous rupture of the descending thoracic aorta with the formation of para-aortic hematoma and left-sided hemothorax. The patient underwent a hybrid operation - aortic arch and descending thoracic aorta prosthetic repair, subclavian bypass with left subclavian artery ligation, left-sided thoracotomy, and pleural cavity sanitation. No intraoperative complications were observed, the patient was taken off the ventilator on day 2. The control computed tomography performed on day 10, revealed correct and stable stent graft position with no signs of continued bleeding, endoleak. The patient was discharged in satisfactory condition on day 14. Due to the high hospital mortality of open surgery on the thoracic aorta in case of penetrating atherosclerotic ulcers, as well as the predominance of elderly patients with severe comorbidities that contraindicate open surgery using cardiopulmonary bypass, endovascular and hybrid technologies, which are minimally invasive and traumatic, come to the fore. Endovascular prosthetic repair in case of penetrating atherosclerotic ulcer of aortic arch and descending thoracic aorta is an effective and safe procedure in patients at high risk, showing encouraging long-term results.

scholarly journals Hybrid Repairs of the Distal Aortic Arch and Proximal Descending Thoracic Aorta

2007 ◽  
Vol 12 (3) ◽  
pp. 167-177 ◽  
Author(s):  
John Bozinovski ◽  
Scott A. LeMaire ◽  
Scott A. Weldon ◽  
Joseph S. Coselli
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Descending Thoracic Aorta

SUCCESFULL SURGICAL REPAIR OF AN ACCUTE TYPE A DISSECTING AORTIC ANEURYSM ASSOCIATED WITH A RIGHT-SIDED-AORTIC ARCH AND RIGHT SIDED DESCENDING THORACIC AORTA

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 416S ◽  
Author(s):  
Konstantinos E. Paziouros ◽  
Stavros Siminelakis ◽  
Sokrates Sismanidis ◽  
Leonidas Disnitsas ◽  
Miltiadis Matsagas ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Arch ◽  
Thoracic Aorta ◽  
Surgical Repair ◽  
Type A ◽  
Descending Thoracic Aorta ◽  
Dissecting Aortic Aneurysm

scholarly journals VASCULAR RING- LEFT AORTIC ARCH WITH RIGHT DESCENDING THORACIC AORTA AND RIGHT LIGAMENTUM ARTERIOSUM

2017 ◽  
Vol 4 (26) ◽  
pp. 1568-1571
Author(s):  
Jai Prakash Soni ◽  
Mohan Makwana ◽  
Suresh Kumar ◽  
Kirti Chaturvedi ◽  
Pradeep Singh ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Vascular Ring ◽  
Descending Thoracic Aorta ◽  
Ligamentum Arteriosum
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