Hybrid Approach for the Treatment of Thoracic Aortic Arch Aneurysm in a Patient With Chronic Obstructive Lung Disease and Retrosternal Adhesion.
10.4070/kcj.2011.41.7.413
- Author:
Ki Bang KIM
1
;
Won Ho KIM
;
Jin Ho CHOI
;
Jeong Hee KIM
;
Yu Jeong CHOI
;
Kyung Tae JEONG
;
Sun Chang PARK
;
Sahng LEE
Author Information
1. Division of Cardiology, Eulji University Hospital, Daejeon, Korea. sahnglee@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic aneurysm, thoracic;
Vascular grafting;
Endovascular procedure
- MeSH:
Aged;
Aneurysm;
Angiography;
Aorta;
Aorta, Thoracic;
Aortic Aneurysm, Thoracic;
Cardiac Tamponade;
Chimera;
Endovascular Procedures;
Female;
Follow-Up Studies;
Hematoma;
Hospitals, General;
Humans;
Hypertension;
Mitral Valve;
Mitral Valve Insufficiency;
Pulmonary Disease, Chronic Obstructive;
Shock;
Vascular Grafting
- From:Korean Circulation Journal
2011;41(7):413-416
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 73-year-old woman with a history of chronic hypertension and severe chronic obstructive pulmonary disease, presented to a district general hospital with thoracic pain in a profound state of shock. She was diagnosed with cardiac tamponade, severe mitral regurgitation, and Stanford type A (Debakey type I) intramural hematoma. Her ascending aorta was of a significant size and therefore emergent repair was done to replace the ascending aorta and mitral valve. After 6 months, an increased aneurysmal size of 6.0 cm was observed in a follow up contrast-enhanced computed tomography angiography. The patient was successfully treated by a staged hybrid procedure involving initial supra-aortic reconstruction.
