Treatment of aneurysmal aberrant right subclavian artery with triple-barrel stent graft.
Fiche publication
Date publication
avril 2015
Journal
Annals of vascular surgery
Auteurs
Membres identifiés du Cancéropôle Est :
Pr OHANA Mickaël
Tous les auteurs :
Schwein A, Georg Y, Ohana M, Delay C, Lejay A, Thaveau F, Chakfe N
Lien Pubmed
Résumé
Aneurysmal evolution of an aberrant right subclavian artery (ARSA) is an operative indication. Endovascular treatment is a minimally invasive procedure, which offers good short-term and midterm results. We describe a case of a 9-cm diameter ARSA aneurysm in a symptomatic man, treated with the triple-barrel technique using a thoracic aortic stent graft combined with surgical and endovascular revascularization of the supra-aortic trunks. Postoperatively, the patient developed a type III endoleak which was covered. The triple-barrel technique has been a proposed treatment approach for complex aortic arch pathologies and remains a less invasive option when compared with open surgery.
Mots clés
Aged, Aneurysm, diagnosis, Aorta, Thoracic, abnormalities, Aortography, methods, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, adverse effects, Cardiovascular Abnormalities, diagnosis, Deglutition Disorders, diagnosis, Endoleak, diagnosis, Endovascular Procedures, adverse effects, Humans, Male, Prosthesis Design, Reoperation, Stents, Subclavian Artery, abnormalities, Tomography, X-Ray Computed, Treatment Outcome
Référence
Ann Vasc Surg. 2015 Apr;29(3):595.e1-3