Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery

Type II endoleak following hybrid treatment of aneurysms of aberrant subclavian arteries (AARSA) and requiring reintervention is rare. A retroesophageal AARSA with a 70 mm diameter was treated with left and right carotid to subclavian bypasses and thoracic endografting to exclude its ostium. The dis...

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Autores principales: Masciello, Fabrizio, Fargion, Aaron, Innocenti, Alessandro Alessi, Giacomelli, Elena, Voltolini, Luca, Dorigo, Walter, Pratesi, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413370/
https://www.ncbi.nlm.nih.gov/pubmed/30886695
http://dx.doi.org/10.1093/jscr/rjz058
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author Masciello, Fabrizio
Fargion, Aaron
Innocenti, Alessandro Alessi
Giacomelli, Elena
Voltolini, Luca
Dorigo, Walter
Pratesi, Carlo
author_facet Masciello, Fabrizio
Fargion, Aaron
Innocenti, Alessandro Alessi
Giacomelli, Elena
Voltolini, Luca
Dorigo, Walter
Pratesi, Carlo
author_sort Masciello, Fabrizio
collection PubMed
description Type II endoleak following hybrid treatment of aneurysms of aberrant subclavian arteries (AARSA) and requiring reintervention is rare. A retroesophageal AARSA with a 70 mm diameter was treated with left and right carotid to subclavian bypasses and thoracic endografting to exclude its ostium. The distal neck was embolized with a vascular plug. At 22 months postoperatively, an angio-computed tomography (CT) scan performed for worsening of dysphagia showed the presence of a Type II endoleak from bronchial arteries with significant sac enlargement. An open surgical repair with thoracotomy, aneurysmorraphy and ligature of the feeding vessels was successfully performed.
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spelling pubmed-64133702019-03-18 Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery Masciello, Fabrizio Fargion, Aaron Innocenti, Alessandro Alessi Giacomelli, Elena Voltolini, Luca Dorigo, Walter Pratesi, Carlo J Surg Case Rep Case Report Type II endoleak following hybrid treatment of aneurysms of aberrant subclavian arteries (AARSA) and requiring reintervention is rare. A retroesophageal AARSA with a 70 mm diameter was treated with left and right carotid to subclavian bypasses and thoracic endografting to exclude its ostium. The distal neck was embolized with a vascular plug. At 22 months postoperatively, an angio-computed tomography (CT) scan performed for worsening of dysphagia showed the presence of a Type II endoleak from bronchial arteries with significant sac enlargement. An open surgical repair with thoracotomy, aneurysmorraphy and ligature of the feeding vessels was successfully performed. Oxford University Press 2019-03-12 /pmc/articles/PMC6413370/ /pubmed/30886695 http://dx.doi.org/10.1093/jscr/rjz058 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Masciello, Fabrizio
Fargion, Aaron
Innocenti, Alessandro Alessi
Giacomelli, Elena
Voltolini, Luca
Dorigo, Walter
Pratesi, Carlo
Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
title Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
title_full Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
title_fullStr Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
title_full_unstemmed Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
title_short Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
title_sort open surgical conversion for type ii endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413370/
https://www.ncbi.nlm.nih.gov/pubmed/30886695
http://dx.doi.org/10.1093/jscr/rjz058
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