Contained Rupture in a Long Tortuous Descending Thoracic Aortic Aneurysm: A Life‐Saving Challenging Emergency
TEVAR
Suci Indriani, Sania Zahrani, Ayers G. I. Kalaij, Taofan Taofan, Suko Adiarto, Iwan Dakota ABSTRACT
Descending thoracic aortic aneurysm (DTAA) accounts for approximately 30% of thoracic aortic aneurysms, associated with high morbidity and mortality rates. Among these, contained rupture is a rare subtype of rupture, characterized by the temporary sealing of the disrupted aortic wall by surrounding structures. Although patients with contained rupture are often hemodynamically stable, the condition represents a critical state on the brink of full rupture. Thoracic endovascular aortic repair (TEVAR) is generally more preferable compared to open surgery, associated with favourable outcomes. However, emergency TEVAR could be challenging especially in cases with complex anatomical features. Here, we present a successful case of emergency TEVAR in a 64‐year‐old man with a contained rupture of a long and tortuous DTAA. In conclusion, emergency TEVAR is a viable, life‐saving intervention for long, tortuous, and ruptured DTAA. Comprehensive preoperative, intraoperative, and postoperative management is necessary to prevent complications and provide favourable outcomes.