Complete repair in a single period of circulatory arrest of a ruptured atherosclerotic aortic arch aneurysm. Report of one case
Greig U, D.; Zalaquett S, R.; Carvajal F, C.
Revista Medica de Chile 137(10): 1346-1350
2009
ISSN/ISBN: 0034-9887 PMID: 20011942 Document Number: 634751
The aortic arch aneurysm is a complex disease with a growing incidence in our population. We report a 64 year-old female with an atherosclerotic aortic arch aneurysm with a maximum diameter of 9.4 cm and evidence of contained rupture. We performed a complete aortic arch replacement in a single period of 100 minutes of circulatory arrest with deep hypothermia and brain protection with anterograde cerebral perfusion through the right axillary artery. The patient had a complete recovery without evidence of neurological damage and was extubated on the next morning. One year later, the patient is asymptomatic and the peri-aortic haematoma was completely reabsorbed.