Hybrid aortic arch debranching and endovascular aneurysm repair for a thoracic aortic aneurysm impending rupture

Rajendra Kumar Premchand, N. Sreedhar Reddy, Mohammed Sadiq Azam, Vasanth Kumar

Pdf Page Numbers :- 172-176

Rajendra Kumar Premchand^1,*, N. Sreedhar Reddy¹, Mohammed Sadiq Azam¹ and Vasanth Kumar¹

¹Department of Cardiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India.

*Corresponding author: Dr. Rajendra Kumar Premchand, Director and Senior Interventional Consultant Cardiologist, Department of Cardiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Mobile: +91 9848029443; Email: kumarpre@hotmail.com

Received 22 July 2015; Revised 10 September 2015; Accepted 18 September 2015; Published 25 September 2015

Citation: Rajendra Kumar P, Sreedhar Reddy N, Sadiq Azam Md, Vasanth Kumar. Hybrid aortic arch debranching and endovascular aneurysm repair for a thoracic aortic aneurysm impending rupture. J Med Sci Res. 2015; 3(4):172-176. DOI: http://dx.doi.org/10.17727/JMSR.2015/3-033

Copyright: © 2015 Rajendra Kumar P, et al. Published by KIMS Foundation and Research Center. 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 author and source are credited.

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Abstract

An aortic aneurysm (AA) is an increase in diameter of at least 50% greater than expected for the same aortic segment in unaffected individuals of the same age and sex. It may be asymptomatic except when ruptured or impending rupture. When ruptured it is a life threatening emergency with a significant mortality. On presentation most thoracic AA are incidental findings found on routine work up for other causes or may present with vague back pain. We present one such case in whom a thoracic AA was incidentally detected during routine preoperative workup for squamous cell CA of the tongue. As the thoracic AA was impending rupture and the patient carried a high perioperative mortality risk with conventional aortic surgery, the patient was managed by the heart team with a hybrid technique involving an initial arch debranching surgery followed by endovascular aneurysm repair (EVAR) of the AA using three overlapping stent grafts.

Keywords: aortic aneurysm; EVAR; hybrid debranching; thoracic aortic aneurysm