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J Vasc Surg Cases Innov Tech. 2020 Sep 08;6(4):516-519. doi: 10.1016/j.jvscit.2020.08.033. eCollection 2020 Dec.

Hybrid open and endovascular treatment of an aortic arch pseudoaneurysm in a patient with human immunodeficiency virus infection.

Journal of vascular surgery cases and innovative techniques

Hicham Belmir, Chafik El Kettani, Youssef Tijani, Nabil Maotassim Billah, Hassan Chtata, Mustapha Taberkant

Affiliations

  1. Vascular Surgery Department, Mohammed VI University of Health Sciences, Casablanca, Morocco.
  2. Department of Anesthesia, Mohammed VI University of Health Sciences, Casablanca, Morocco.
  3. Department of Radiology, Mohammed V University, Rabat, Morocco.
  4. Vascular Surgery Department, Mohammed V University, Rabat, Morocco.

PMID: 33134633 PMCID: PMC7588800 DOI: 10.1016/j.jvscit.2020.08.033

Abstract

We describe an hybrid approach for aortic pseudoaneurysm with open and endovascular treatment as an alternative treatment for a high-risk patient infected with human immunodeficiency virus. A 42-year-old man, serum positive for human immunodeficiency virus, presented, with a large pseudoaneurysm of the arch aorta measuring 61 × 70 mm. An aortic arch debranching was performed, completed by thoracic endovascular aneurysm repair. A control computed tomography scan performed 3 months later showed a complete thrombosis of the pseudoaneurysm. The outcome of this treatment, particularly regarding the rate of infection, is yet to be determined, Longer follow-up is needed with a greater of patients.

© 2020 The Authors.

Keywords: Aortic arch pseudoaneurysm; Human immunodeficiency virus; Hybrid treatment

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