A Case of 2-Debranch Thoracic Endovascular Aortic Repair for Impending Thoracic Aortic Aneurysm Rupture in an Old Patient

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  • Arimoto Munehito
    The Department of Cardiovascular Surgery, Tokyo Rinkai Hospital The Department of Cardiovascular Surgery, Nihon University School of Medicine
  • Obana Masahiro
    The Department of Cardiovascular Surgery, Tokyo Rinkai Hospital
  • Shimada Naohiro
    The Department of Cardiovascular Surgery, Tokyo Rinkai Hospital The Department of Cardiovascular Surgery, Nihon University School of Medicine
  • Yamamoto Kazunori
    The Department of Cardiovascular Surgery, Tokyo Rinkai Hospital
  • Tanaka Masashi
    The Department of Cardiovascular Surgery, Nihon University School of Medicine

Bibliographic Information

Other Title
  • 超高齢者弓部大動脈切迫破裂に対し 2 枝 Debranch TEVAR を施行した 1 例
  • 症例報告 超高齢者弓部大動脈切迫破裂に対し2枝Debranch TEVARを施行した1例
  • ショウレイ ホウコク チョウコウレイシャ キュウブ ダイドウミャク セッパク ハレツ ニ タイシ 2 シ Debranch TEVAR オ シコウ シタ 1レイ

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Description

A 93-year-old man receiving follow-up care for hypertension and a thoracic aorta aneurysm experienced sudden precordial and back pain. He requested an ambulance and was taken to our hospital. We checked his thoracic aorta with computed tomography and diagnosed him with an 84 mm maximum minor-axis diameter arch thoracic aortic aneurysm (TAA) with imminent rupture and pleural effusion. After undergoing 2-debranch TEVAR emergency surgery, the patient made an uneventful recovery without postoperative complications and left the hospital on his own on POD 35. This case is being reported because it describes the successful treatment of TAA with an emergency stent graft for a patient of advanced age.

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