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Revista médica de Chile

versão impressa ISSN 0034-9887

Resumo

GREIG U, Douglas; ZALAQUETT S, Ricardo  e  CARVAJAL F, Claudia. Complete repair in a single period of circulatory arrest of a ruptured atherosclerotic aortic arch aneurysm: Report of one case. Rev. méd. Chile [online]. 2009, vol.137, n.10, pp.1346-1350. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872009001000010.

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.

Palavras-chave : Aneurism; ruptured; Aortic aneurism; Thoracic surgery.

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