Aortic arch pseudoaneurysm on penetrating ulcer: delayed closure after endovascular treatment. A case report.
Luciano Izzo 1, Sara Izzo 1, Francesco Razionale 1, Pieretti Gorizio 2, Pierfrancesco Di Cello 1, Paolo Izzo 1, Messineo Daniela 3
Affiliations
Article Info
1 Department of Surgery, Policlinico “Umberto I” Sapienza University, Rome, Italy
2 Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy.
3 Department of Radiological Oncological And Anatomical-Pathological Sciences, Sapienza University, Rome, Italy
Abstract
Standard open repair of true or false aneurysms of the aortic arch usually require cardiopulmonary bypass, hypothermia and circulatory arrest, associated with increased mortality and morbidity rates. Thus, an alternative strategy that avoids cardiopulmonary bypass (CPB) and hypothermic circulatory arrest would benefit the patient. Endovascular stent-grafting has developed as a safe and effective treatment for descending aortic pathologies.5,6 We share our experience with the endovascular approach to pseudoaneurysm of the aortic arch in a patient with high risk for aortic arch replacement under extracorporal circulation.
Keywords
- Aortic arch
- Endoprosthesis
- Evar
- Penetrating ulcer