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Thromboexclusion Procedure for a Recurrent Descending Aortic Pseudoaneurysm in the Pre-Stent Era
Sebastien Strachan1, Mohammad A Zafar1, Bulat A Ziganshin1
1Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut.
Insights
A complex coarctation of the descending aorta case was treated with a thromboexclusion procedure. This surgical technique achieved durable, long-term survival by creating a bypass graft and occluding the aorta.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Thoracic Surgery
Background:
- Coarctation of the descending aorta presents significant surgical challenges.
- Standard treatments can lead to complications such as graft infection.
- Complex cases require innovative surgical solutions for long-term patient outcomes.
Abstract:
We present a dramatic case of coarctation of the descending aorta. Standard surgical treatment led to graft infection, necessitating a complex series of additional surgical procedures-all without resolution. A classical "thromboexclusion" procedure accomplished durable, decades-long survival. The thromboexclusion produced the expected thrombotic occlusion of the descending aorta. The extra-anatomic ascending-to-abdominal bypass graft provided long-term blood flow to the abdominal organs and lower extremities.
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