A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta

Treatment of aortic arch aneurysm with standard open surgery is technically demanding, and associated morbidity and mortality are not insignificant. In high-risk patients, hybrid procedures with debranching and reimplantation or bypass of the aortic arch vessel followed by thoracic endovascular aort...

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Autores principales: Carino, Davide, Molardi, Alberto, Gherli, Tiziano, Nicolini, Francesco, Agostinelli, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748836/
https://www.ncbi.nlm.nih.gov/pubmed/31529431
http://dx.doi.org/10.1055/s-0039-1688439
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author Carino, Davide
Molardi, Alberto
Gherli, Tiziano
Nicolini, Francesco
Agostinelli, Andrea
author_facet Carino, Davide
Molardi, Alberto
Gherli, Tiziano
Nicolini, Francesco
Agostinelli, Andrea
author_sort Carino, Davide
collection PubMed
description Treatment of aortic arch aneurysm with standard open surgery is technically demanding, and associated morbidity and mortality are not insignificant. In high-risk patients, hybrid procedures with debranching and reimplantation or bypass of the aortic arch vessel followed by thoracic endovascular aortic repair (TEVAR) in the aortic arch represent a valid alternative to open surgery. However, when the ascending aorta is mildly dilated, the risk of retrograde dissection increases sharply. Here, we report a case of thoracic aortic aneurysm, with normal ascending aorta diameter, treated with Type I debranching and anterograde TEVAR complicated by anastomotic pseudoaneurysm and acute endocarditis, treated ultimately with ascending aortic repair and aortic valve replacement.
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spelling pubmed-67488362019-09-18 A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta Carino, Davide Molardi, Alberto Gherli, Tiziano Nicolini, Francesco Agostinelli, Andrea Aorta (Stamford) Treatment of aortic arch aneurysm with standard open surgery is technically demanding, and associated morbidity and mortality are not insignificant. In high-risk patients, hybrid procedures with debranching and reimplantation or bypass of the aortic arch vessel followed by thoracic endovascular aortic repair (TEVAR) in the aortic arch represent a valid alternative to open surgery. However, when the ascending aorta is mildly dilated, the risk of retrograde dissection increases sharply. Here, we report a case of thoracic aortic aneurysm, with normal ascending aorta diameter, treated with Type I debranching and anterograde TEVAR complicated by anastomotic pseudoaneurysm and acute endocarditis, treated ultimately with ascending aortic repair and aortic valve replacement. Thieme Medical Publishers 2019-09-17 /pmc/articles/PMC6748836/ /pubmed/31529431 http://dx.doi.org/10.1055/s-0039-1688439 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Carino, Davide
Molardi, Alberto
Gherli, Tiziano
Nicolini, Francesco
Agostinelli, Andrea
A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta
title A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta
title_full A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta
title_fullStr A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta
title_full_unstemmed A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta
title_short A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta
title_sort case of type i debranching complicated by anastomotic pseudoaneurysm: do not ask too much of the ascending aorta
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748836/
https://www.ncbi.nlm.nih.gov/pubmed/31529431
http://dx.doi.org/10.1055/s-0039-1688439
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