Repair of right carotid artery pseudoaneurysm in a patient with hostile aortic arch through left ventricular approach.
We describe the case of an 81-year-old male who presented with a rapidly expanding neck hematoma from a common carotid artery pseudoaneurysm. Percutaneous repair using the right femoral artery approach was unsuccessful due to a hostile aortic arch. Using a small left thoracotomy and antegrade left ventricular access to the ascending aorta, a covered stent was successfully delivered at the site of the pseudoaneurysm. Our case provides proof-of-principle that complex carotid interventions can be performed expediently through a left ventricular approach in patients with hostile aortic arch.
Harjai
Kishore J
KJ
Cardiac Catheterization Laboratories, Guthrie Clinic, One Guthrie Square, Sayre, PA 18840, USA.
Anderson
John
J
D000369:Aged, 80 and over; D001015:Aortic Arch Syndromes / Q000150:complications* / Q000175:diagnosis; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D020212:Carotid Artery Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D015607:Stents; D013908:Thoracotomy / Q000379:methods*