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Date Published: 05/05/2025
Abstract Views: 145
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DOI: https://doi.org/10.51298/vmj.v549i3.13979
Issue
Vol. 549 No. 3 (2025)
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How to Cite
Phạm Minh, T. (2025). THORACIC ENDOVASCULAR AORTIC REPAIR IN RUPTURE THORACIC AORTIC PSEUDOANEURYSM PATIENT WITH COMPLICATED VASCULAR ACCESS. Vietnam Medical Journal, 549(3). https://doi.org/10.51298/vmj.v549i3.13979

THORACIC ENDOVASCULAR AORTIC REPAIR IN RUPTURE THORACIC AORTIC PSEUDOANEURYSM PATIENT WITH COMPLICATED VASCULAR ACCESS

Tuấn Phạm Minh

Main Article Content

Abstract

A 80-year-old male admitted to our hospital with a complaint of 2-day chest pain and haemoptysis. Multi-slice computed tomography (MSCT) showed rupture thoracic aortic pseudoaneurysm. However, he was found to have calcification in whole segment of the aorta, included bilateral femoral arteries, which are very important to perform thoracic endovascular aortic repair (TEVAR) safely. He achieved medical management to control hypertension and pain. TEVAR was perform with careful planning with open right common illiac artery access, with the aim of reducing the rupture, dissection rate of the access vesel. He was discharged after 6 days without complications. It was very important to measure the size, length of the stent-graft and the access artery. Insight evaluation of the access artery was also very important to have a good result of TEVAR.

Article Details

Keywords

thoracic aortic endovascular repair, complicated vascular access

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