Aneurisma del cayado aórtico roto: Reparación exitosa en un solo período de paro circulatorio

• Douglas Greig U ^[1] ; Ricardo Zalaquett S ^[1] ; Claudia Carvajal F ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 10, 2009, págs. 1346-1350
• Idioma: español
• Títulos paralelos:
  • Complete repair in a single period of circulatory arrest of a ruptured atherosclerotic aortic arch aneurysm: Report of one case
• Enlaces
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• Resumen

  • The aortic arch aneurysm is a complex disease with a growing incidence in our population. We report a 64 year-old female with an atherosclerotic aortic arch aneurysm with a maximum diameter of 9.4 cm and evidence of contained rupture. We performed a complete aortic arch replacement in a single period of 100 minutes of circulatory arrest with deep hypothermia and brain protection with anterograde cerebral perfusión through the right axillary artery. The patient had a complete recovery without evidence of neurological damage and was extubated on the next morning. One year later, the patient is asymptomatic and the peri-aortic haematoma was completely reabsorbed.