Endovascular repair of innominate artery true aneurysm with extra-anatomic revascularization of right carotid and vertebral arteries — A case report
| Autor: | F.I.C.A. Mihai Rosca M.D., F.I.C.A. John B. Chang M.D., Theodore A. Stein, F.I.C.A. David Siegel M.D. |
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| Rok vydání: | 2011 |
| Předmět: |
Aortic arch
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Vertebral artery Revascularization medicine.disease Surgery Aneurysm medicine.anatomical_structure medicine.artery cardiovascular system medicine cardiovascular diseases Radiology Cardiology and Cardiovascular Medicine business Subclavian artery Angiology Computed tomography angiography Artery |
| Zdroj: | International Journal of Angiology. 14:260-262 |
| ISSN: | 1615-5939 1061-1711 |
| DOI: | 10.1007/s00547-005-8051-y |
| Popis: | The purpose of this article is to describe the endovascular repair of a large aneurysm of the innominate artery in a patient with a history of chronic renal failure and coronary artery bypass. A 4.5 × 4.8-cm innominate artery aneurysm that extended to the proximal subclavian artery was diagnosed by chest X-ray, computed tomography, computed tomography angiography, and aortic arch angiogram in an 80-year-old man who had problems with his angio access for renal dialysis. Since these aneurysms are potential sources of emboli to the brain, extra-anatomic diversion and revascularization of the right carotid and vertebral arteries were done before endovascular manipulation of the innominate artery. Before discharge, a computed tomography scan showed no evidence of a Type I or major Type II leak. The patient has been doing well as an outpatient. Large innominate artery aneurysms in high-risk patients can be treated successfully by using a combined approach of extra-anatomic revascularization of the right carotid and vertebral artery system, and endovascular repair of the aneurysm. |
| Databáze: | OpenAIRE |
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