Gore cTAG sleeve-associated maldeployment for traumatic aortic injury with aberrant right subclavian artery

A 30-year-old woman presented following a motor vehicle collision with a grade III blunt thoracic aortic injury and an aberrant right subclavian artery. Using intraoperative ultrasound and diagnostic subtraction angiography, we deployed an aortic endograft (cTAG; W.L. Gore & Associates), excludi...

Descripción completa

Detalles Bibliográficos
Autores principales: Leonard, Samuel, Vernier, Brett, Keyhani, Kourosh, Keyhani, Arash, Tanaka, Akiko, Wang, S. Keisin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319308/
https://www.ncbi.nlm.nih.gov/pubmed/37408950
http://dx.doi.org/10.1016/j.jvscit.2023.101216
Descripción
Sumario:A 30-year-old woman presented following a motor vehicle collision with a grade III blunt thoracic aortic injury and an aberrant right subclavian artery. Using intraoperative ultrasound and diagnostic subtraction angiography, we deployed an aortic endograft (cTAG; W.L. Gore & Associates), excluding the injury and aberrant right subclavian artery. The patient immediately lost arterial waveforms in her left arm, confirming incidental coverage of the left subclavian artery, likely due to the polytetrafluoroethylene sheath of the endograft. Her pulses returned after placement of a left subclavian chimney via retrograde brachial artery access.

Ejemplares similares