First Report of Thoracic Endovascular Aortic Repair With Chimney to Free Vein Coronary Bypass for Ruptured Type A Thoracic Aortic Dissection

An 85-year-old patient with a history of oxygen-dependent chronic obstructive pulmonary disease and coronary artery bypass grafting (LIMA-LAD, free vein-circumflex) presented to the emergency department with chest and back pain. Computed tomography angiography (CTA) confirmed acute type a thoracic aortic dissection limited to the ascending thoracic aorta. Aneurysm size is 10 cm. This patient was evaluated by cardiovascular surgeons who offered the patient palliative care secondary to perioperative risk and sent home.

Source: Journal of Vascular Surgery - July 20, 2018 Category: Surgery Authors: Manish Mehta, Philip Paty, Zachary Kostun Tags: Abstract from the 2018 Eastern Vascular Society Annual Meeting Source Type: research