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Updated: Feb 8, 2026

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Murine Surgical Model of Topical Elastase Induced Descending Thoracic Aortic Aneurysm
Published on: August 24, 2019
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TEVAR for ruptured descending thoracic aortic aneurysm: case report.
Sthefano Atique Gabriel1, Enrico Rinaldi2, Marco Leopardi2
1Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Fellow of Advanced Aortic Surgery, Milan, Italy.
Jornal Vascular Brasileiro
|June 23, 2018
Summary
Ruptured descending thoracic aortic aneurysms are deadly emergencies. Emergency thoracic endovascular aortic repair (TEVAR) offers a minimally invasive solution for effective aneurysm exclusion.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Aneurysm Research
Background:
- Ruptured descending thoracic aortic aneurysms (rDTAA) present significant mortality risks.
- Endovascular repair is an emerging minimally invasive treatment option.
- Hemodynamic instability complicates management of rDTAA.
Observation:
- A 76-year-old male presented with a large (9-cm diameter) rDTAA.
- The patient was hemodynamically unstable, requiring urgent intervention.
- Thoracic endovascular aortic repair (TEVAR) was performed emergently.
Findings:
- Successful exclusion of the 9-cm rDTAA was achieved.
- The minimally invasive TEVAR approach was feasible in an emergency setting.
- The patient's hemodynamic status was stabilized post-procedure.
Implications:
- TEVAR is a viable emergency treatment for hemodynamically unstable rDTAA.
- Minimally invasive repair can improve outcomes in life-threatening aortic emergencies.
- Further research into TEVAR for complex aortic aneurysms is warranted.
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