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Eur J Cardiothorac Surg 2005;27:156-158
© 2005 Elsevier Science NL

Case report

Off pump treatment of aortic arch rupture: extraanatomic hybrid reconstruction

^a Cardiac Surgery Unit, Umberto I Hospital, Via Circonvallazione 50, 30174 Mestre, Venice, Italy
^b Cardiology Unit, Umberto I Hospital, Mestre, Venice, Italy

Received 29 June 2004; received in revised form 7 October 2004; accepted 14 October 2004.

^* Corresponding author. Tel.: +39 041 2608332; fax: +39 041 2608340. (E-mail: domenicomangino{at}libero.it).

We present a possible alternative technique to treat the rupture of aortic arch aneurysms on beating heart without necessity of cardiopulmonary bypass (CPB), hypothermic circulatory arrest and cerebral protection, using a bifurcated vascular prosthesis to revascularize the subclavian and carotid arteries and an endovascular prosthesis to repair the aortic arch. We report the case of a 78-year-old woman successfully treated with this technique. Since in our institution endovascular prostheses are placed by the interventional cardiologists, the operation was done in cooperation between cardiac surgeons and interventional cardiologists.

Key Words: Ascending aorta aneurysm • Aortic surgery • Beating heart • Endovascular prosthesis