Hybrid repair of an adult with a double aortic arch, coarctation of the aorta, and left subclavian artery aneurysm

We report the repair of a double aortic arch, coarctation of the aorta, and left subclavian artery (LSCA) aneurysm using a hybrid procedure in a 47-year-old woman. The patient underwent repair through a median sternotomy incision to bypass the left common carotid artery and LSCA. An endovascular app...

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Detalles Bibliográficos
Autores principales: Bell, Kameron T., McKinney, Maranda R., Salazar, Paul A., Esper, Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Aortic arch and thoracic aortic endovascular repair
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883313/
https://www.ncbi.nlm.nih.gov/pubmed/31799482
http://dx.doi.org/10.1016/j.jvscit.2019.06.006
Descripción
Sumario:We report the repair of a double aortic arch, coarctation of the aorta, and left subclavian artery (LSCA) aneurysm using a hybrid procedure in a 47-year-old woman. The patient underwent repair through a median sternotomy incision to bypass the left common carotid artery and LSCA. An endovascular approach was used to repair the coarctation of the aorta and to occlude the right aortic arch. Repair of this anomaly was advised because of worsening clinical symptoms and potential for fatal rupture or dissection of the LSCA aneurysm. Hybrid repair simplified what would have required a multistage open repair.

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