Abstract
Ruptured thoracic aortic aneurysm (rTAA) is a condition with a high fatality rate that requires emergency surgery. Recently, thoracic endovascular aortic repair (TEVAR) has emerged as an alternative to open repair. This report describes a case of a 96-year-old woman who underwent successful TEVAR for rTAA. The patient developed chest pain and was transported to the hospital via ambulance. Computed tomography scan revealed a rupture site at the distal arch as well as left hemothorax. Two thoracic stent grafts were deployed to successfully exclude the rupture. A left chest tube was placed, and hematoma removal from the left thoracic cavity was performed via small thoracotomy 16 days later. Her postoperative course was uncomplicated, and on day 41, she was transferred to a rehabilitation facility. We conclude that TEVAR is an effective procedure for the management of thoracic aorta aneurysms in elderly patients.
