Thoracic Endovascular Aortic Repair with the Chimney Technique for Blunt Traumatic Pseudoaneurysm of the Aortic Arch in a No-Option Patient

• Published in: Yonsei medical journal Vol. 54; no. 1; pp. 258 - 261
• Main Authors: Kim, Won Ho, Choi, Jin Ho, Park, Sang Hyun, Choi, Yu Jeong, Jeong, Kyung Tae, Park, Sun Chang, Lee, Sahng
• Format: Journal Article
• Language: English
• Published: Korea (South) Yonsei University College of Medicine 01.01.2013; 연세대학교의과대학
• Subjects: Accidents, Traffic; Adult; Aneurysm, False; Aorta, Thoracic - diagnostic imaging; Aorta, Thoracic - surgery; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - surgery; Case Report; Cerebral Hemorrhage - diagnostic imaging; Cerebral Hemorrhage - surgery; Endovascular Procedures - methods; Humans; Male; Subclavian Artery - diagnostic imaging; Subclavian Artery - surgery; Tomography, X-Ray Computed; Treatment Outcome; Wounds, Nonpenetrating - diagnostic imaging; Wounds, Nonpenetrating - surgery; 의학일반
• ISSN: 0513-5796; 1976-2437; 1976-2437
• DOI: 10.3349/ymj.2013.54.1.258

A 42-year-old man was involved in a motor vehicle collision. Imaging studies revealed the presence of a post-traumatic aortic pseudo-aneurysm (about 34 × 26 cm) arising from the descending thoracic aorta at the level of the left subclavian artery (LSA), prone to rupture. Thoracic endovascular aneurysm repair (TEVAR) was the only feasible option due to his poor overall medical status. In this case, LSA needed to be covered in order to extend the proximal landing zone. Eventually, modified TEVAR was successfully performed by means of the chimney technique to preserve flow to the LSA and to prevent flow into the pseudoaneurysmal sac.