Technical strategy in a patient with symptomatic thoracic aneurysm near the origin of the left subclavian artery and left internal thoracic artery coronary graft.
Thoracic endovascular aortic repair (TEVAR) is a safe and reliable technique utilized in the treatment for aortic aneurysms. However, in up to 40% of patients, devices are typically placed over the left subclavian artery (LSA) origin. In this report, we present a case of a successful TEVAR procedure following the transposition of the LSA with protective carotico-axillary/carotid bypass in a patient with a patent left internal thoracic artery (LITA)-left anterior descending (LAD) coronary artery bypass graft and right internal carotid artery (ICA) occlusion.
Department of Vascular Surgery, Institute for Cardiovascular Disease, Dedinje, Belgrade, Serbia. sdrbabic@sezampro.rs
Srdjan D
SD
Babic
Djordje J
DJ
Radak
Vuk A
VA
Sotirovic
Dragana R
DR
Unic-Stojanovic
Dusan S
DS
Babic
Petar Z
PZ
Popov
Dragan Z
DZ
Sagic
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001026:Coronary Artery Bypass; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008323:Mammary Arteries; D061330:Multidetector Computed Tomography; D013348:Subclavian Artery