Journal of the Saudi Heart Association (Jul 2018)

Endovascular repair of a leaking aortic-arch pseudoaneurysm using graft stent combined with chimney protection to left common carotid artery: Case report and review of literature

  • Raneem Fallatah,
  • Abdelfatah A. Elasfar,
  • Shadha Alzubaidi,
  • Mazen Alraddadi,
  • Reda Abuelatta

Journal volume & issue
Vol. 30, no. 3
pp. 254 – 259

Abstract

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Aortic pseudoaneurysm (PsA) is a rare but serious condition that has high mortality and morbidity rates if untreated. We report a rare case of leaking aortic-arch PsA repaired by thoracic endovascular aortic repair using graft stent with the chimney technique to protect the left common carotid artery. Unlike other cases in the literature, our case was unique, having leaking PsA not related to previous cardiac surgery or aortic dissection. The successful management of this patient using thoracic endovascular aortic repair combined with the chimney technique suggests that this approach may be an attractive therapeutic alternative to treat aortic-arch PsA. Keywords: Aortic-arch pseudoaneurysm, Thoracic endovascular aortic repair