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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 2(01): 26-28
DOI: 10.4103/AJIR.AJIR_21_17
Case Report

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

Victoria A. Burrows
Department of Radiology, St. Boniface Hospital, Winnipeg, Manitoba, Canada
,
Siuchan Sookhoo
Department of Radiology, St. Boniface Hospital, Winnipeg, Manitoba, Canada
› Author Affiliations Financial support and sponsorship Nil.
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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.

Customized thoracic endovascular aortic repair - hybrid approach - right-sided aortic aneurysm


Publication History

Article published online:
26 March 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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