First implantation of Gore Hybrid Vascular Graft in the right vertebral artery for cerebral debranching in a patient with Loeys-Dietz syndrome.
A 53-year-old woman with Loeys-Dietz syndrome developed progressive subclavian artery aneurysm and common carotid artery dissection. She was treated successfully by plugging and coiling of the subclavian aneurysm and its side branches after combined cervical debranching using standard carotid-axillary bypass and Gore Hybrid Vascular Graft for vertebral revascularization. Follow-up control (4 weeks) documented patent debranching, and only minimal residual flow in the subclavian aneurysm. The described off-label use for sutureless cerebral revascularisation of the vertebral artery might be a fast, simple, and reliable solution for cervical debranching in selective challenging patients. Further studies are necessary to evaluate side effects and durability.
Department of Vascular Medicine, University Heart Center, University Hospital Eppendorf, Hamburg, Germany.
Sabine
S
Wipper
Department of Vascular Medicine, University Heart Center, University Hospital Eppendorf, Hamburg, Germany.
Oliver
O
Ahlbrecht
Department of Vascular Medicine, University Heart Center, University Hospital Eppendorf, Hamburg, Germany.
Tito
T
Kölbel
Department of Vascular Medicine, University Heart Center, University Hospital Eppendorf, Hamburg, Germany.
Axel
A
Pflugradt
Department of Cardiology, University Heart Center, University Hospital Eppendorf, Hamburg, Germany.
Yskert
Y
von Kodolitsch
Department of Vascular Medicine, University Heart Center, University Hospital Eppendorf, Hamburg, Germany. Electronic address: debus@uke.de.
E Sebastian
ES
Debus
D000497:Alloys; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D055947:Loeys-Dietz Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation; D013536:Suture Techniques; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*
D000497:Alloys; C013616:nitinol