title: An alternative approach in treating an aortic arch aneurysm with an anatomic variant by supraaortic reconstruction and stent-graft placement.
abstract: We report the case of a 78-year-old man who presented with an aortic arch aneurysm that involved the origin of the left carotid artery and extended up to the origin of the brachiocephalic trunk. The left vertebral artery originated separately from the arch. The patient was treated by a reversed bifurcated prosthesis from the ascending aorta to the brachiocephalic trunk as well as to the left common carotid artery, and a simultaneous left-sided vertebral-to-carotid artery transposition was also performed. Metachronously, the patient later underwent successful endovascular stent-graft placement into the entire aortic arch.
authors.affiliation: Department of Cardiothoracic Surgery, University of Vienna Medical School, Austria.
authors.forename: Roman
authors.initials: R
authors.lastname: Gottardi
authors.forename: Rainald
authors.initials: R
authors.lastname: Seitelberger
authors.forename: Daniel
authors.initials: D
authors.lastname: Zimpfer
authors.forename: Johannes
authors.initials: J
authors.lastname: Lammer
authors.forename: Ernst
authors.initials: E
authors.lastname: Wolner
authors.forename: Michael
authors.initials: M
authors.lastname: Grimm
authors.forename: Martin
authors.initials: M
authors.lastname: Czerny
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D002343:Carotid Artery, Internal / Q000601:surgery; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*; D014711:Vertebral Artery / Q000002:abnormalities* / Q000601:surgery