Preserving the left subclavian artery patency in challenging proximal neck during thoracic endovascular aortic repair.
Coverage of the left subclavian artery in thoracic endovascular aortic repair is still a controversial procedure. We report a case of 30-year-old patient with a chronic rupture of the aortic isthmus and short proximal lending zone (10 mm) treated by thoracic endovascular aortic repair using a balloon catheter inflated at the origin of the left subclavian artery (and protruding in the aortic arch) to both preserve the arterial branch patency and fully exploit the proximal neck.
Unit of Cardiac Surgery and Radiology Department, Humanitas Clinical and Research Center, Rozzano, Italy.
Fabrizio
F
Settepani
Giuseppe Maria
GM
Raffa
Pietro Giorgio
PG
Malvindi
Giuseppe
G
Tarelli
Giorgio
G
Brambilla
Vittorio
V
Pedicini
D000328:Adult; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000800:Angioplasty, Balloon / Q000295:instrumentation; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D016896:Treatment Outcome; D014654:Vascular Patency