An alternative approach in treating an aortic arch aneurysm with an anatomic variant by supraaortic reconstruction and stent-graft placement.
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.
Gottardi
Roman
R
Department of Cardiothoracic Surgery, University of Vienna Medical School, Austria.
Seitelberger
Rainald
R
Zimpfer
Daniel
D
Lammer
Johannes
J
Wolner
Ernst
E
Grimm
Michael
M
Czerny
Martin
M
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