Isolated left vertebral artery and its consequences for aortic arch repair

A left vertebral artery (LVA) originating directly from the aortic arch is the second most common supra-aortic branching anomaly. This isolated LVA can also terminate in the posterior inferior cerebellar artery without contributing to the circle of Willis, limiting treatment options, especially in c...

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Autores principales: van der Weijde, Emma, Bakker, Olaf J., Sonker, Uday, Heijmen, Robin H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699187/
https://www.ncbi.nlm.nih.gov/pubmed/31440716
http://dx.doi.org/10.1016/j.jvscit.2019.03.017
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author van der Weijde, Emma
Bakker, Olaf J.
Sonker, Uday
Heijmen, Robin H.
author_facet van der Weijde, Emma
Bakker, Olaf J.
Sonker, Uday
Heijmen, Robin H.
author_sort van der Weijde, Emma
collection PubMed
description A left vertebral artery (LVA) originating directly from the aortic arch is the second most common supra-aortic branching anomaly. This isolated LVA can also terminate in the posterior inferior cerebellar artery without contributing to the circle of Willis, limiting treatment options, especially in cases with an incomplete circle. Here, we describe our consideration of the treatment options for a 79-year-old patient with a large distal aortic arch aneurysm combined with an isolated LVA and incomplete circle of Willis that may endanger adequate (intraoperative) cerebral perfusion.
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spelling pubmed-66991872019-08-22 Isolated left vertebral artery and its consequences for aortic arch repair van der Weijde, Emma Bakker, Olaf J. Sonker, Uday Heijmen, Robin H. J Vasc Surg Cases Innov Tech Case report A left vertebral artery (LVA) originating directly from the aortic arch is the second most common supra-aortic branching anomaly. This isolated LVA can also terminate in the posterior inferior cerebellar artery without contributing to the circle of Willis, limiting treatment options, especially in cases with an incomplete circle. Here, we describe our consideration of the treatment options for a 79-year-old patient with a large distal aortic arch aneurysm combined with an isolated LVA and incomplete circle of Willis that may endanger adequate (intraoperative) cerebral perfusion. Elsevier 2019-08-07 /pmc/articles/PMC6699187/ /pubmed/31440716 http://dx.doi.org/10.1016/j.jvscit.2019.03.017 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
van der Weijde, Emma
Bakker, Olaf J.
Sonker, Uday
Heijmen, Robin H.
Isolated left vertebral artery and its consequences for aortic arch repair
title Isolated left vertebral artery and its consequences for aortic arch repair
title_full Isolated left vertebral artery and its consequences for aortic arch repair
title_fullStr Isolated left vertebral artery and its consequences for aortic arch repair
title_full_unstemmed Isolated left vertebral artery and its consequences for aortic arch repair
title_short Isolated left vertebral artery and its consequences for aortic arch repair
title_sort isolated left vertebral artery and its consequences for aortic arch repair
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699187/
https://www.ncbi.nlm.nih.gov/pubmed/31440716
http://dx.doi.org/10.1016/j.jvscit.2019.03.017
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