Emergency One-Stage Hybrid Surgery for Ruptured Aneurysm of the Distal Aortic Arch

Abstract

Rupture of an aortic arch aneurysm is a life-threatening condition that requires emergency operation. For rupture of a distal arch aneurysm, we performed—with the patient under total circulatory arrest—an emergency total arch replacement with an elephant-trunk procedure, followed by one-stage antegrade stent-grafting. Prompt institution of cardiopulmonary bypass and total circulatory arrest has the advantage of lessening the risk of overt aortic rupture in this emergency situation.

Key words: Aorta, thoracic/surgery; aortic aneurysm, thoracic/surgery; aortic arch/surgery; aortic rupture/surgery; blood vessel prosthesis implantation/methods; endovascular procedures; stents ning condition that necessitates emergency surgery. Recent advances in the field of hybrid surgery have led many surgeons to choose a procedure less invasive than conventional open surgery, especially in cases of ruptured aneurysm of the arch.