Treating a Large Thoracoabdominal Aneurysm With Aberrant Right Subclavian Artery With a Physician-Modified Graft

Autor:	Cristian Rosu, Philippe Charbonneau, Laura M. Drudi, Jean-François Blair, Nathalie Beaudoin, Stéphane Elkouri
Rok vydání:	2023
Předmět:	Radiology Nuclear Medicine and imaging Surgery Cardiology and Cardiovascular Medicine
Zdroj:	Journal of Endovascular Therapy. :152660282311662
ISSN:	1545-1550 1526-6028
DOI:	10.1177/15266028231166291
Popis:	We report the treatment of a young patient with Loeys-Dietz syndrome and previous type A aortic dissection repair and extensive thoracoabdominal aortic aneurysm using an aberrant right subclavian as inflow for debranching of the aortic arch. Clinical Impact Large thoracoabdominal aortic aneurysms due to chronic aortic dissection in patients with connective tissue disorders such as Loeys-Dietz syndrome present a challenging scenario, particularly in cases of variant anatomy and when patients are not candidates for conventional open repair. We demonstrate how by combining and modifying off-the-shelf devices during a hybrid procedure, one can create an endovascular solution tailored to the patient’s complex anatomy, making use of an aberrant right subclavian artery, and allow for good clinical outcomes
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::38dcaaacbfd805979a4661a2f345f417 https://doi.org/10.1177/15266028231166291 Zobrazit plný text záznamu