Hybrid endovascular pseudoaneurysm and pulmonary stenosis repair in bovine arch

Venkatapuram Seenu Reddy; Jeffrey D McNeil; Matthew W Crozier; Tyler L Bloomer; Helen Marie Merritt; Jorge E Lopera

doi:10.1016/j.athoracsur.2010.09.046

Hybrid endovascular pseudoaneurysm and pulmonary stenosis repair in bovine arch

Ann Thorac Surg. 2011 Feb;91(2):e20-2. doi: 10.1016/j.athoracsur.2010.09.046.

Authors

Venkatapuram Seenu Reddy¹, Jeffrey D McNeil, Matthew W Crozier, Tyler L Bloomer, Helen Marie Merritt, Jorge E Lopera

Affiliation

¹ Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonia, Texas 78240, USA.

PMID: 21256258
DOI: 10.1016/j.athoracsur.2010.09.046

Abstract

This case report details the endovascular management of a large aortic pseudoaneurysm in a high-risk patient with a complicated history using a multi-disciplinary, hybrid approach. The pseudoaneurysm compressed the main pulmonary artery to 5 mm with near complete obstruction of the left main pulmonary artery, while also compromising the lumens of the left superior pulmonary vein and left main bronchus. Furthermore, the patient's left upper extremity arteriovenous dialysis fistula and bovine arch anatomy required a hybrid approach of repair that preserved the fistula while treating the aortic, pulmonary, and bronchial pathology.

Publication types

Case Reports

MeSH terms

Aneurysm, False / complications
Aneurysm, False / diagnosis
Aneurysm, False / surgery*
Aorta, Thoracic / abnormalities*
Aorta, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / complications
Aortic Aneurysm, Thoracic / diagnosis
Aortic Aneurysm, Thoracic / surgery*
Endovascular Procedures / methods*
Humans
Male
Middle Aged
Pulmonary Valve Stenosis / complications
Pulmonary Valve Stenosis / diagnosis
Pulmonary Valve Stenosis / surgery*
Tomography, X-Ray Computed