2011
DOI: 10.1016/j.jvs.2011.03.271
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Abstract: Hybrid repair of ruptured aortic arch repair has been proposed as a valuable approach. However, the presence of an anterior mediastinal hematoma must be carefully detected because of the inherent risk of rupture at sternotomy. We report the case of a patient presenting a ruptured aortic arch aneurysm with anterior rupture who underwent hybrid repair using a temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic trunks. We propose this adjunctive technique as a means of allowin… Show more

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Cited by 5 publications
(2 citation statements)
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“…Recently Joyeux et al described a temporary extra anatomic bypass from femoral artery to supraortic trunks during the deployment of endograft and before performing sternotomy and debranching [9]. It could be another option for hybrid procedure but in our case surgical carotid-carotid bypass appears as a correct choice because we avoided the sternotomy, we allowed a patency of supraortic vessels without any risk of cerebral accident and we performed a well standardized and quite easy surgical intervention [4].…”
Section: Discussionmentioning
confidence: 90%
“…Recently Joyeux et al described a temporary extra anatomic bypass from femoral artery to supraortic trunks during the deployment of endograft and before performing sternotomy and debranching [9]. It could be another option for hybrid procedure but in our case surgical carotid-carotid bypass appears as a correct choice because we avoided the sternotomy, we allowed a patency of supraortic vessels without any risk of cerebral accident and we performed a well standardized and quite easy surgical intervention [4].…”
Section: Discussionmentioning
confidence: 90%
“…Walterbusch and colleagues [3] first reported a case of restored carotid flow through the femorocarotid bypass during acute aortic dissection in 1984. Joyeux and colleagues [4] used temporary extraanatomic femorobicarotid bypass brain perfusion to treat a ruptured (A) Anastomosis of one 24-mm  12-mm  12-mm bifurcated gelatin-sealed polyester vascular graft to the abdominal aortic true lumen. (B) Then, anastomosis of two 12-mm polyester vascular grafts to each of the previous 12-mm limbs of the bifurcated graft and extended to the neck through a subcutaneous tunnel created through the chest wall; insertion of a 16-mm Endurant II endoprosthesis into both 12-mm vascular grafts for reinforcement.…”
Section: Commentmentioning
confidence: 99%