Preserving the left subclavian artery patency in challenging proximal neck during thoracic endovascular aortic repair

J Cardiovasc Med (Hagerstown). 2017 May;18(5):374-377. doi: 10.2459/JCM.0000000000000104.

Abstract

Coverage of the left subclavian artery in thoracic endovascular aortic repair is still a controversial procedure. We report a case of 30-year-old patient with a chronic rupture of the aortic isthmus and short proximal lending zone (10 mm) treated by thoracic endovascular aortic repair using a balloon catheter inflated at the origin of the left subclavian artery (and protruding in the aortic arch) to both preserve the arterial branch patency and fully exploit the proximal neck.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / physiopathology
  • Aneurysm, False / surgery*
  • Angioplasty, Balloon* / instrumentation
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / physiopathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / etiology
  • Aortic Rupture / physiopathology
  • Aortic Rupture / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Computed Tomography Angiography
  • Female
  • Humans
  • Prosthesis Design
  • Stents
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / physiopathology*
  • Treatment Outcome
  • Vascular Patency*