Limits...
A hybrid operation in a patient with complex right subclavian artery aneurysm.

Roh YN, Park KB, Do YS, Kim WS, Kim YW, Kim DI - J Korean Surg Soc (2012)

Bottom Line: The patient was a 70-year-old woman who presented with dry cough and hoarseness.The aneurysm was characterized by the absence of a proximal neck, and involvement of the origin of the right vertebral artery.The postoperative course was uneventful.

View Article: PubMed Central - PubMed

Affiliation: Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

ABSTRACT
We report a hybrid surgery including endovascular aneurysm repair and debranching procedures to treat a patient with a complex right subclavian artery aneurysm. The patient was a 70-year-old woman who presented with dry cough and hoarseness. The aneurysm was characterized by the absence of a proximal neck, and involvement of the origin of the right vertebral artery. She underwent carotid-vertebral artery bypass, stent graft from the innomiate artery to the common carotid artery and carotid-axillary artery bypass. Great saphenous vein was used for the carotid-vertebral artery bypass and 7 mm reinforced polytetrafluoroethylene graft was used for the carotid-axillary artery bypass. The postoperative course was uneventful.

No MeSH data available.


Related in: MedlinePlus

Preoperative plan of the hybrid surgery. (A) The anatomy of the right subclavian artery aneurysm. (B) Right common carotid-vertebral bypass with the great saphenous vein graft. (C) Proximal anastomosis of the right common carotid-axillary bypass with a 7 mm ringed polytetrafluorethylene (PTFE) graft. (D) Stent graft from the innominate artery to the right common carotid artery via the PTFE graft. (E) Coil embolization of the branches. (F) Distal anastomosis of the right common carotid artery-right axillary artery and ligation of the axillary artery. Rt., right; VA, vertebral artery; CCA, common carotid artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC3294115&req=5

Figure 2: Preoperative plan of the hybrid surgery. (A) The anatomy of the right subclavian artery aneurysm. (B) Right common carotid-vertebral bypass with the great saphenous vein graft. (C) Proximal anastomosis of the right common carotid-axillary bypass with a 7 mm ringed polytetrafluorethylene (PTFE) graft. (D) Stent graft from the innominate artery to the right common carotid artery via the PTFE graft. (E) Coil embolization of the branches. (F) Distal anastomosis of the right common carotid artery-right axillary artery and ligation of the axillary artery. Rt., right; VA, vertebral artery; CCA, common carotid artery.

Mentions: Computed tomography (CT) angiography revealed a 50 × 49 mm size, true aneurysm of the right subclavian artery. The aneurysm developed from the innominate artery proximally and extended to the right subclavian artery distally. The right vertebral artery was originated the aneurysm, while the left vertebral artery was occluded (Fig. 1A-C). We planned to adopt a less invasive approach including a stent graft of innominate artery to carotid artery and extra-anatomic bypass as shown in Fig. 2.


A hybrid operation in a patient with complex right subclavian artery aneurysm.

Roh YN, Park KB, Do YS, Kim WS, Kim YW, Kim DI - J Korean Surg Soc (2012)

Preoperative plan of the hybrid surgery. (A) The anatomy of the right subclavian artery aneurysm. (B) Right common carotid-vertebral bypass with the great saphenous vein graft. (C) Proximal anastomosis of the right common carotid-axillary bypass with a 7 mm ringed polytetrafluorethylene (PTFE) graft. (D) Stent graft from the innominate artery to the right common carotid artery via the PTFE graft. (E) Coil embolization of the branches. (F) Distal anastomosis of the right common carotid artery-right axillary artery and ligation of the axillary artery. Rt., right; VA, vertebral artery; CCA, common carotid artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3294115&req=5

Figure 2: Preoperative plan of the hybrid surgery. (A) The anatomy of the right subclavian artery aneurysm. (B) Right common carotid-vertebral bypass with the great saphenous vein graft. (C) Proximal anastomosis of the right common carotid-axillary bypass with a 7 mm ringed polytetrafluorethylene (PTFE) graft. (D) Stent graft from the innominate artery to the right common carotid artery via the PTFE graft. (E) Coil embolization of the branches. (F) Distal anastomosis of the right common carotid artery-right axillary artery and ligation of the axillary artery. Rt., right; VA, vertebral artery; CCA, common carotid artery.
Mentions: Computed tomography (CT) angiography revealed a 50 × 49 mm size, true aneurysm of the right subclavian artery. The aneurysm developed from the innominate artery proximally and extended to the right subclavian artery distally. The right vertebral artery was originated the aneurysm, while the left vertebral artery was occluded (Fig. 1A-C). We planned to adopt a less invasive approach including a stent graft of innominate artery to carotid artery and extra-anatomic bypass as shown in Fig. 2.

Bottom Line: The patient was a 70-year-old woman who presented with dry cough and hoarseness.The aneurysm was characterized by the absence of a proximal neck, and involvement of the origin of the right vertebral artery.The postoperative course was uneventful.

View Article: PubMed Central - PubMed

Affiliation: Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

ABSTRACT
We report a hybrid surgery including endovascular aneurysm repair and debranching procedures to treat a patient with a complex right subclavian artery aneurysm. The patient was a 70-year-old woman who presented with dry cough and hoarseness. The aneurysm was characterized by the absence of a proximal neck, and involvement of the origin of the right vertebral artery. She underwent carotid-vertebral artery bypass, stent graft from the innomiate artery to the common carotid artery and carotid-axillary artery bypass. Great saphenous vein was used for the carotid-vertebral artery bypass and 7 mm reinforced polytetrafluoroethylene graft was used for the carotid-axillary artery bypass. The postoperative course was uneventful.

No MeSH data available.


Related in: MedlinePlus