Parul Sevashram Hospital, Vadodara successfully treated a 52-year-old male patient with complex and life threatening aneurysm of the aortic arch with contained rupture and aberrant right subclavian artery. This high risk patient underwent a combined Total Arch Debranching and Thoracic Endovascular Aortic Repair (TEVAR) in a hybrid fashion. Both procedures were performed on the same day.
The patient had severe COVID-19 infection in 2023 with a 15 year history of Hypertension and intracerebral hemorrhage. He had an episode of fainting 2 weeks before admission followed by breathlessness and cough for about 15 days. A medical evaluation found fluid around the lungs, and detailed imaging showed a large aneurysm in the distal arch of the aorta that had developed a leak, with bleeding temporarily contained by surrounding tissues.




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