Awake Thoracic Endovascular Aneurysm Repair for Aortic Rupture: A Case Series

Semin Thorac Cardiovasc Surg. 2018 Spring;30(1):36-39. doi: 10.1053/j.semtcvs.2017.06.005. Epub 2017 Jun 8.

Abstract

Thoracic endovascular aortic repair (TEVAR) has been proven to be the optimal therapy for patients with a ruptured descending thoracic aortic pathology. In these emergent settings, TEVAR provides a rapid delivery of treatment to an unstable patient with a lethal disease. Typically, the greatest challenge is maintaining hemodynamic stability until the time of graft deployment. In this report, we describe our technique of performing awake TEVAR for ruptured descending thoracic aortic disease.

Keywords: anerurysm; aorta; dissection; endovascular; thoracic endovascular aortic repair.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Aged, 80 and over
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / physiopathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / physiopathology
  • Aortic Rupture / surgery*
  • Aortography
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Female
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Treatment Outcome