Abstract
We report the case of aortic arch aneurysm rupture treated successfully with thoracic endovascular aneurysm repair (TEVAR) accompanied by aortic arch debranching using the chimney graft technique. A 94-year-old man was transported to the hospital after complaining of chest pain for one day. Contrast-enhanced computed tomographic (CT) images revealed an aortic arch aneurysm rupture. Considering the patient's age and postoperative activities of daily living, TEVAR was used. In order to place an indwelling stent graft from the ascending aorta to the periphery, the chimney graft technique was used to debranch the brachiocephalic artery. Hemodynamics was stabilized postsurgically. Plain CT performed 20 days postoperatively confirmed that the intrathoracic hematoma had decreased in size. Although respiratory failure was persistent, there were improvements and the patient was extubated 34 days postoperatively and discharged from the intensive care unit 37 days postoperatively. On postoperative day 75, he was discharged from the hospital to an elder care facility. Few reports have focused on stent grafting for treating aortic arch aneurysm rupture. TEVAR using the chimney graft technique could be an effective treatment option for patients with a decreased ability to tolerate surgery.
Highlights
Thoracic aortic rupture is a condition with a high fatality rate
Along with a discussion of the literature, our experience with a case of aortic arch aneurysm rupture in which the patient survived as a result of stent grafting accompanied by aortic arch debranching using the chimney graft technique
Rupture of a thoracic aortic aneurysm is a condition with a high mortality rate, and for the patient to survive, the bleeding must be controlled as early as possible through surgical treatment
Summary
Thoracic aortic rupture is a condition with a high fatality rate. The surgical procedure consists of artificial blood vessel replacement under thoracotomy. Artificial blood vessel replacement surgery is a highly invasive surgical procedure, and despite improvements in anesthetic management, surgical procedures, and perioperative management, the condition continues to have a high mortality rate and incidence of complications [1]. A number of studies have recently reported the use of stent grafting, a minimally invasive surgical procedure, for the treatment of thoracic aortic rupture. Along with a discussion of the literature, our experience with a case of aortic arch aneurysm rupture in which the patient survived as a result of stent grafting accompanied by aortic arch debranching using the chimney graft technique
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
