Rare Aortic Arch Aneurysm Saved with Hybrid Precision

A high-risk abdominal aortic aneurysm with severe cardiac dysfunction was successfully managed through precise surgical intervention and advanced vascular planning.Timely diagnosis and expert multidisciplinary care ensured a stable recovery and restored the patient’s quality of life.
The Challenge: Initial Presentation
A 65-year-old patient presented with a large infrarenal abdominal aortic aneurysm (62 × 50 × 82 mm) with thrombus, along with a right iliac artery aneurysm complicated by dissection and atherosclerosis. Severe LV dysfunction made this a high-risk case with imminent risk of rupture.


The Approach:
The patient underwent successful surgical repair under Dr. Apurba Kumar Sarma, Chief Cardiothoracic & Vascular Surgeon, supported by:
- Advanced CT imaging
- Detailed vascular mapping
- Multidisciplinary planning
- High-risk surgical preparedness
The Diagnosis:
CT aortography revealed:
- Large infrarenal aneurysm with thrombus
- Right iliac artery aneurysm with dissection
- Diffuse atherosclerosis

The Solution: Surgical Intervention & Treatment
A complex abdominal aortic aneurysm repair was performed with precision, backed by advanced vascular expertise and meticulous surgical planning.
The Outcome: Recovery & Stabilisation
- Successful surgery
- Patient stabilised
- Now leading a healthy life



