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Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique
File(s)
Author(s)
Kokotsakis, J
Tassopoulos, D
Ttofi, J
Harling, L
Ashrafian, H
Type
Journal Article
Abstract
Ruptured Penetrating Ulcer and aortic arch pseudo-aneurysm is a rare condition but one which carries a high risk of rupture. We report the case of a 74-year-old man with aortic arch pseudo-aneurysm, in which a Frozen Elephant Trunk procedure was successfully performed. There were no postoperative complications at 6 months follow-up. The Computed Tomography Angiogram demonstrated thrombus formation in the pseudo-aneurysm lumen, with no endoleak on the stented part of the descending thoracic aorta and complete patency of all branches of aortic arch. This case demonstrates that the Frozen Elephant Trunk technique may be the treatment of choice when treating such complex aortic arch lesions provided there is no absolute contraindication to radical surgical intervention. However, long-term clinical efficacy and safety have yet to be confirmed.
Date Issued
2014-04-05
Date Acceptance
2014-03-31
Citation
Journal of Cardiothoracic Surgery, 2014, 9
URI
DOI
ISSN
1749-8090
Publisher
BioMed Central
Journal / Book Title
Journal of Cardiothoracic Surgery
Volume
9
Copyright Statement
© Kokotsakis et al. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
License URL
Subjects
Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Cardiovascular System & Cardiology
CARDIAC & CARDIOVASCULAR SYSTEMS
Pseudoaneurysm
Aortic arch
Stented graft
Frozen elephant trunk
DESCENDING THORACIC AORTA
ATHEROSCLEROTIC ULCERS
FOLLOW-UP
REPLACEMENT
DISEASE
Aged
Aneurysm, False
Aortic Aneurysm, Thoracic
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Humans
Male
Ulcer
Respiratory System
1103 Clinical Sciences
Publication Status
Published
Article Number
68