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Updated: Jan 25, 2026

Visualization and Analysis of Pharyngeal Arch Arteries using Whole-mount Immunohistochemistry and 3D Reconstruction
Published on: March 31, 2020
Contained rupture of arch aneurysm managed with total arch, frozen elephant trunk and endograft
Michael Ibrahim1, Roland Assi1, Fenton McCarthy1
1Division of Cardiovascular Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 North 39th Street, Heart and Vascular Pavilion Suite 2A, Philadelphia PA 19104, USA.
Abstract:
We here describe a complex case of a 75-year-old man presenting with contained rupture of an aortic arch aneurysm in the presence of a second thoracic aortic aneurysm. He was managed with emergent total arch replacement with frozen elephant trunk. Another stent-graft was used to achieve hemostasis at the distal anastomosis. He later underwent TEVAR extension to manage his second aneurysm in a staged fashion. This case demonstrates a number of important concepts in the evolving interaction between open and endovascular therapies of the aortic arch, particularly in the emergent setting.
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