A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device

A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device

We present a hybrid approach to the management of an aortic aneurysm in a right-sided aortic arch with aberrant left subclavian artery and associated Kommerell's diverticulum. The aneurysm extended from the origin of the left common carotid artery to the mid-descending thoracic aorta. A bilater...

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Bibliographic Details
Main Authors: Victoria A. Burrows, Siuchan Sookhoo
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-01-01
Series:The Arab Journal of Interventional Radiology
Subjects:
customized thoracic endovascular aortic repair
hybrid approach
right-sided aortic aneurysm
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_21_17
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spelling doaj-bc3b97c9c75a44b9ae8e5933da5a0a1f2021-05-03T04:00:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.The Arab Journal of Interventional Radiology2542-70752542-70832018-01-01201262810.4103/AJIR.AJIR_21_17A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair DeviceVictoria A. Burrows0Siuchan Sookhoo1Department of Radiology, St. Boniface Hospital, Winnipeg, Manitoba, CanadaDepartment of Radiology, St. Boniface Hospital, Winnipeg, Manitoba, CanadaWe present a hybrid approach to the management of an aortic aneurysm in a right-sided aortic arch with aberrant left subclavian artery and associated Kommerell's diverticulum. The aneurysm extended from the origin of the left common carotid artery to the mid-descending thoracic aorta. A bilateral carotid to subclavian artery bypass was performed followed by endovascular placement of a customized fenestrated thoracic endovascular aortic repair device (TEVAR, Cook Medical, Australia). Endovascular stents (Viabahn, Gore Medical, Arizona) were placed in the carotid arteries bilaterally and Amplatzer II plugs (AGA Medical Corporation) were used to occlude the subclavian arteries. Follow-up imaging at 1 month revealed no evidence of endoleak.http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_21_17customized thoracic endovascular aortic repairhybrid approachright-sided aortic aneurysm
collection DOAJ
language English
format Article
sources DOAJ
author Victoria A. Burrows
Siuchan Sookhoo
spellingShingle Victoria A. Burrows
Siuchan Sookhoo
A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device
The Arab Journal of Interventional Radiology
customized thoracic endovascular aortic repair
hybrid approach
right-sided aortic aneurysm
author_facet Victoria A. Burrows
Siuchan Sookhoo
author_sort Victoria A. Burrows
title A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device
title_short A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device
title_full A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device
title_fullStr A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device
title_full_unstemmed A Hybrid Approach to Right-sided Aortic Arch Aneurysm Using Bilateral Carotid to Subclavian Bypass with a Customized Fenestrated Thoracic Endovascular Aortic Repair Device
title_sort hybrid approach to right-sided aortic arch aneurysm using bilateral carotid to subclavian bypass with a customized fenestrated thoracic endovascular aortic repair device
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series The Arab Journal of Interventional Radiology
issn 2542-7075
2542-7083
publishDate 2018-01-01
description We present a hybrid approach to the management of an aortic aneurysm in a right-sided aortic arch with aberrant left subclavian artery and associated Kommerell's diverticulum. The aneurysm extended from the origin of the left common carotid artery to the mid-descending thoracic aorta. A bilateral carotid to subclavian artery bypass was performed followed by endovascular placement of a customized fenestrated thoracic endovascular aortic repair device (TEVAR, Cook Medical, Australia). Endovascular stents (Viabahn, Gore Medical, Arizona) were placed in the carotid arteries bilaterally and Amplatzer II plugs (AGA Medical Corporation) were used to occlude the subclavian arteries. Follow-up imaging at 1 month revealed no evidence of endoleak.
topic customized thoracic endovascular aortic repair
hybrid approach
right-sided aortic aneurysm
url http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_21_17
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