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CC BY-NC-ND 4.0 · Aorta (Stamford) 2024; 12(01): 020-022
DOI: 10.1055/s-0044-1791241
Case Report

Hybrid Treatment of Complex Para-anastomotic Aortic Arch Pseudoaneurysm

Arno von Ristow 
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
,
Valdo Carreira 
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
,
Erverton Gregório 
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
,
Ricardo Coelho 
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
,
Alberto Vescovi 
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
,
Cleverson Zukowsky 
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
,
Pedro Sartori
1   Centervasc-Rio and Rede D'Or-São Luiz, Hospital Copa D'Or, Rio de Janeiro, Brazil
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Abstract

The development of pseudoaneurysms increases with time since the original operation, with incidence 0.2 to 25%. The axillofemoral bypass is employed to treat selective aortoiliac obstructions. Rarely, it is used in reverse form and always for treatment of occlusive arterial disease. We report a para-anastomotic aortic arch pseudoaneurysm and add to the literature a successful hybrid treatment, with bilateral femoroaxillary bypasses, thromboexclusion of all supra-aortic trunks, and aortic arch covering with an endograft.

Keywords

arch aneurysm - arch pseudoaneurysm - reverse femoroaxillary bypass


Publication History

Received: 25 April 2023

Accepted: 16 July 2024

Article published online:
04 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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