scholarly journals Transthoracic minimally invasive closure for the treatment of arch penetrating aortic ulcer: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shixiong Wang ◽  
Debin Liu ◽  
Yongnan Li ◽  
Bingren Gao
Keyword(s):  
Computed Tomography ◽  
Minimally Invasive ◽  
Aortic Arch ◽  
Septal Defect ◽  
Surgical Repair ◽  
Acute Aortic Syndrome ◽  
Descending Thoracic Aorta ◽  
Open Surgical Repair ◽  
Penetrating Aortic Ulcer ◽  
Novel Method

AbstractPenetrating aortic ulcer (PAU) is one of the three subtypes of acute aortic syndrome. PAUs occur at any point throughout the aorta, most commonly in the descending thoracic aorta and less frequently in the aortic arch. Open surgical repair and total/hybrid endovascular repair are currently available to treat aortic arch PAUs. Herein, we present a patient with aortic arch PAU who underwent transthoracic minimally invasive closure, which is a novel method for the treatment of PAU. We describe a 52-year old Asian man who presented with sudden chest and back pain for 8 h. Computed tomography angiography showed that the PAU occurred in the aortic arch and had a diameter of 16 mm and a depth of 6 mm. The opening was successfully closed via transthoracic minimally invasive closure with an atrial septal defect occluder.

Comparison of hybrid endovascular and open surgical repair for proximal aortic arch diseases

2016 ◽  
Vol 203 ◽  
pp. 975-979 ◽  
Author(s):  
Woong Chol Kang ◽  
Young-Guk Ko ◽  
Eak Kyun Shin ◽  
Chul-Hyun Park ◽  
Donghoon Choi ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Surgical Repair ◽  
Open Surgical Repair

scholarly journals Various Endoluminal Approaches Available for Treating Pathologies of the Aortic Arch

2020 ◽  
Vol 43 (12) ◽  
pp. 1756-1769
Author(s):  
Muzaffar A. Anwar ◽  
Mohammad Hamady
Keyword(s):  
Aortic Arch ◽  
Surgical Repair ◽  
Hybrid Approach ◽  
Aortic Disease ◽  
Open Surgical Repair ◽  
Neurological Sequelae ◽  
Aortic Stent Graft ◽  
Custom Made ◽  
Term Data

Abstract Open surgical repair of the aortic arch for degenerative aortic disease in an unfit patient is associated with significant morbidity and mortality. Endoluminal techniques have advanced over the last decade. Contemporary endovascular options including a hybrid approach (supra-aortic debranching and aortic stent graft), inner branched endograft, chimney stents, and scallop or fenestrated endografts are being used frequently as an alternative to open surgical arch repair. Understanding of the available endoluminal technology along with careful planning and effective teamwork is required to minimise complications associated with the endoluminal techniques, particularly neurological ones. Custom made techniques are superior to chimney or parallel technology in terms of their complications and durability. Integration of the protective devices such as embolic protection filters into stent design may reduce the risk of poor neurological sequelae. Long-term data are needed to assess the durability of these devices.

SUCCESFULL SURGICAL REPAIR OF AN ACCUTE TYPE A DISSECTING AORTIC ANEURYSM ASSOCIATED WITH A RIGHT-SIDED-AORTIC ARCH AND RIGHT SIDED DESCENDING THORACIC AORTA

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 416S ◽  
Author(s):  
Konstantinos E. Paziouros ◽  
Stavros Siminelakis ◽  
Sokrates Sismanidis ◽  
Leonidas Disnitsas ◽  
Miltiadis Matsagas ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Arch ◽  
Thoracic Aorta ◽  
Surgical Repair ◽  
Type A ◽  
Descending Thoracic Aorta ◽  
Dissecting Aortic Aneurysm

scholarly journals Early and mid-term outcomes of endovascular and open surgical repair of non-dissected aortic arch aneurysm†

2017 ◽  
Vol 24 (6) ◽  
pp. 944-950 ◽  
Author(s):  
Daijiro Hori ◽  
Homare Okamura ◽  
Takahiro Yamamoto ◽  
Satoshi Nishi ◽  
Koichi Yuri ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Surgical Repair ◽  
Aortic Arch Aneurysm ◽  
Open Surgical Repair ◽  
Arch Aneurysm

Long-term computed tomography follow-up after open surgical repair of abdominal aortic aneurysms

2006 ◽  
Vol 47 (6) ◽  
pp. 549-553 ◽  
Author(s):  
M. Mantoni ◽  
K. Neergaard ◽  
J. K. Christoffersen ◽  
T. L. Lambine ◽  
N. BÆkgaard
Keyword(s):  
Computed Tomography ◽  
Surgical Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Open Surgical Repair ◽  
Abdominal Aortic

The wandering bullet: An unusual case of paradoxical embolization involving the neck, aortic arch, and iliac artery

Trauma ◽  
2021 ◽  
pp. 146040862110195
Author(s):  
Sashelin Naidoo ◽  
Jaco Botes ◽  
Jacques Janson ◽  
Zamira Keyser ◽  
Jonathan Burke
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Unusual Case ◽  
Surgical Repair ◽  
Jugular Vein ◽  
Open Surgical Repair ◽  
Distal Embolization ◽  
The Common ◽  
Venous Fistula ◽  
Lesser Curvature

Paradoxical intravascular bullet embolism involving the aortic arch (AA) is a rare and highly lethal condition. We describe an unusual case of a civilian gunshot injury to the neck. A bullet entered in the neck, injured the internal jugular vein (IJV), and then continued into the lumen of the common carotid artery (CCA). The bullet traveled under its own momentum and against the flow of blood, along the carotid and brachiocephalic vessels, finally lodging in the wall of the lesser curvature of the AA. The injury tract resulted in an arterial-venous fistula between IJV and CCA and a pseudoaneurysm of the AA. Open surgical repair of the neck and AA was complicated by secondary distal embolization of the bullet, requiring an embolectomy.

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