U-shape kissing chimney thoracic endovascular aneurysm repair for a traumatic arch rupture in a polytraumatized patientU-shape kissing chimney thoracic endovascular aneurysm repair for a traumatic arch rupture in a polytraumatized patient
Faculty of Medicine and Health Sciences
Antwerp Surgical Training, Anatomy and Research Centre (ASTARC)
3(2015):1, p. 41-45
University of Antwerp
An 18-year-old male patient was admitted to our hospital because of a high impact trauma. A computed tomography scan showed massive mediastinal bleeding due to a posteriorly located rupture of the aortic arch with formation of a pseudoaneurysm. Although urgent repair was indicated, open cardiac surgery was not feasible, as this would involve full heparinization in a patient with subarachnoid bleeding. The chosen solution was to perform a percutaneous thoracic endovascular aneurysm repair (TEVAR) and a kissing chimney procedure using a U-shape configuration.