TY - JOUR
T1 - Plug the Hole - A Bailout Option for Acute Focal Aortic Rupture
AU - Zayed, Mohamed A.
AU - Marshall, Clement
AU - Dake, Michael
AU - Lee, Jason T.
N1 - Publisher Copyright:
© 2015 Published by Elsevier Inc.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Background Focal aortic rupture may result from expanding aneurysms, penetrating aortic wall ulcerations, or virulent infections. An urgent repair of paravisceral focal aortic rupture is associated with high morbidity. A staged repair approach may provide an alternative option. Case Report A 64-year-old woman presented with acute focal rupture of the posterior paravisceral aortic wall and was progressing to hemorrhagic shock and mesenteric ischemia. Given the patient's dire condition, an endovascular approach was used to plug her focal aortic wall defect using a ventricular septal defect occluder device. Subsequently, the patient underwent resuscitation, stabilization, and operative exploration. Postoperatively, she recovered well from this staged approach. Conclusions This case provides an example of a staged endovascular plugging of an acute paravisceral focal aortic rupture. In select cases, this type of repair strategy is feasible, until off-the-shelf endovascular repair options become a reality.
AB - Background Focal aortic rupture may result from expanding aneurysms, penetrating aortic wall ulcerations, or virulent infections. An urgent repair of paravisceral focal aortic rupture is associated with high morbidity. A staged repair approach may provide an alternative option. Case Report A 64-year-old woman presented with acute focal rupture of the posterior paravisceral aortic wall and was progressing to hemorrhagic shock and mesenteric ischemia. Given the patient's dire condition, an endovascular approach was used to plug her focal aortic wall defect using a ventricular septal defect occluder device. Subsequently, the patient underwent resuscitation, stabilization, and operative exploration. Postoperatively, she recovered well from this staged approach. Conclusions This case provides an example of a staged endovascular plugging of an acute paravisceral focal aortic rupture. In select cases, this type of repair strategy is feasible, until off-the-shelf endovascular repair options become a reality.
UR - http://www.scopus.com/inward/record.url?scp=84952629190&partnerID=8YFLogxK
U2 - 10.1016/j.avsg.2015.07.033
DO - 10.1016/j.avsg.2015.07.033
M3 - Article
C2 - 26522581
AN - SCOPUS:84952629190
SN - 0890-5096
VL - 30
SP - 309.e5-309.e9
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
ER -