title: Endovascular treatment of innominate artery stenosis in a bovine aortic arch--a case report.
abstract: Recent reports have established the feasibility and safety of percutaneous transluminal angioplasty and stent placement in the treatment of innominate artery occlusive disease. Although the long-term durability of these endovascular approaches has not been clearly established, they are particularly attractive in patients who are not considered good candidates for surgical reconstruction. The authors present a case involving a morbidly obese Hispanic woman who had undergone previous coronary artery bypass and complained of right visual symptoms, dizziness, and right upper extremity claudication. Because of her unusual bovine anatomy and the desire to avoid reoperating in her chest, a unique approach with a left subclavian-to-carotid bypass and innominate artery angioplasty and stenting was used.
authors.affiliation: Divisions of Vascular Surgery and Interventional Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900, USA.
authors.forename: Marcus
authors.initials: M
authors.lastname: D'Ayala
authors.forename: Boulos
authors.initials: B
authors.lastname: Toursarkissian
authors.forename: Hector
authors.initials: H
authors.lastname: Ferral
authors.forename: W M Cannon
authors.initials: WM
authors.lastname: Lewis
authors.forename: W Tracey
authors.initials: WT
authors.lastname: Jones
authors.forename: Michael H
authors.initials: MH
authors.lastname: Wholey
mesh_terms: D000800:Angioplasty, Balloon; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D001027:Aortography; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery