Endovascular treatment of extracranial vertebral artery aneurysm and aberrant right subclavian artery aneurysm

Autor: S, Ronchey, E, Serrao, H, Kasemi, S, Fazzini, N, Mangialardi
Rok vydání: 2014
Předmět:
Zdroj: The Journal of cardiovascular surgery. 55(2)
ISSN: 1827-191X
Popis: We report an endovascular approach that used to treat a symptomatic extracranial vertebral artery aneurysm associated to an asymptomatic aberrant right subclavian artery aneurysm. A 54-year-old man presented with neck pain, vertigo and loss of balance. The computed tomography (CT) scan demonstrated a left extracranial vertebral artery aneurysm that compressed and eroded the C5 vertebra associated to an aberrant right subclavian artery aneurysm. Endovascular exclusion of the vertebral aneurysm using a covered stent and a hybrid treatment of the aberrant subclavian artery aneurysm were performed. The 13th month follow-up CT scan confirmed the stent-grafts and supra-aortic vessels patency. The endovascular treatment represents a good option for these complex pathologies with excellent immediate results, reduces the complication rate and the hospital stay if compared to open repair. Long-term follow-up is necessary. To our knowledge this is a unique case in the literature.
Databáze: OpenAIRE