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SAGE Open Med Case Rep. 2017 Dec 07;5:2050313X17744072. doi: 10.1177/2050313X17744072. eCollection 2017.

Open repair management of a patient with aortic arch saccular aneurysm, penetrating atherosclerotic ulcer, one vessel coronary artery disease and an isolated dissection of the abdominal aorta.

SAGE open medical case reports

Harvey Romolo, Dicky A Wartono, Sugisman Suyuti, Bagus Herlambang, Michael Caesario, Ismoyo Sunu

Affiliations

  1. Department of Adult Cardiac and Vascular Surgery, Rumah Sakit Jantung dan Pembuluh Darah Nasional Harapan Kita (RSJPNHK), Jakarta, Indonesia.

PMID: 29242743 PMCID: PMC5724639 DOI: 10.1177/2050313X17744072

Abstract

Isolated saccular compared to fusiform aneurysm is considered to be a rare entity with challenges of its own. A 62-year-old female was diagnosed with a case of saccular aneurysm and penetrating atherosclerotic ulcer of the aortic arch. Additionally, she also had one vessel coronary artery disease and type B abdominal aortic dissection. She was then managed with open aortic arch repair and coronary artery bypass grafting. If required, elective endovascular repair will be done for the abdominal aorta on a later date.

Keywords: Aortic arch repair; coronary artery bypass grafting; endovascular surgery; penetrating atherosclerotic ulcer; saccular aneurysm; vascular surgery

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

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