A Case of 2-Debranch Thoracic Endovascular Aortic Repair for Impending Thoracic Aortic Aneurysm Rupture in an Old Patient

Abstract

A 93-year-old man receiving follow-up care for hypertension and a thoracic aorta aneurysm experienced sudden precordial and back pain. He requested an ambulance and was taken to our hospital. We checked his thoracic aorta with computed tomography and diagnosed him with an 84 mm maximum minor-axis diameter arch thoracic aortic aneurysm (TAA) with imminent rupture and pleural effusion. After undergoing 2-debranch TEVAR emergency surgery, the patient made an uneventful recovery without postoperative complications and left the hospital on his own on POD 35. This case is being reported because it describes the successful treatment of TAA with an emergency stent graft for a patient of advanced age.