A Case of TEVAR for Spontaneous Rupture of the Aortic Arch
10.4326/jjcvs.44.37
- VernacularTitle:特発性弓部大動脈破裂に対する緊急 debranching TEVAR の1例
- Author:
Yusuke Souma
;
Takayuki Tatebayashi
;
Sakashi Noji
- Publication Type:Journal Article
- Keywords:
spontaneous aortic rupture;
TEVAR;
stroke
- From:Japanese Journal of Cardiovascular Surgery
2015;44(1):37-40
- CountryJapan
- Language:Japanese
-
Abstract:
A 75-year-old man was admitted to our hospital due to sudden onset of chest pain. Computerized tomography showed penetrating atherosclerotic ulcer at the distal arch and hematoma around the aortic arch, therefore we diagnosed spontaneous rupture of the aortic arch. He had a history of previous CABG and multiple cerebral infarction with diffuse cerebral arteries. Open surgery under deep hypothermia, circulatory arrest and cerebral perfusion was considered to be difficult and too invasive, therefore we performed debranching TEVAR. Postoperative cerebellar infarction occurred, but he was discharged 29 days after surgery. TEVAR is especially useful for treatment of spontaneous rupture of the aorta in high-risk patients.
