An extra anatomic, close chest approach to manage an aortic arch aneurysm in an 88-year-old woman.

Kpodonu, Jacques; Peterson, Mark D; Aquiar-Lucas, Leonardo; Rodriguez-Lopez, Julio A; Diethrich, Edward B · Ann Thorac Surg · 2007

case_report · Level V

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Abstract

Repair of thoracic arch aneurysms in the octogenarian is associated with a high morbidity and mortality. In this report we describe a minimally invasive approach to repair and arch aneurysm using an endoluminal graft with an extrathoracic, extra anatomic de-branching of the arch vessels. The advantage of this technique includes avoidance of a median sternotomy, cardiopulmonary bypass, and circulatory arrest with a rapid postoperative recovery.

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