초록접수 현황
| 16F-066 | 포스터 발표 |
Supraclavicular Transposition of Aberrant Left Vertebral Artery for Hybrid Treatment of Aortic Arch Aneurysm
Kyo Seon Lee, Gwan Sic Kim, Yochun Jung, In Seok Jeong, Kook Joo Na, Bong Suk Oh, Byung Hee Ahn, Sang Gi Oh
Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University College of Medicine, Gwangju, Korea
Background : Vertebral artery variations are common in thoracic aortic patients. If patients have the aberrant left vertebral artery, the more difficult to determine the treatment modality.
Methods : A 63-year-old man with aberrant left vertebral artery originated from the aortic arch segment with aneurysmal change admitted our hospital for treatment of aortic arch aneurysm. The patient underwent arch vessel debranching surgery through a supraclavicular approach, and two days later, thoracic endovascular repair (TEVAR) was performed.
The left supraclavicular incision was performed and the left subclavian artery and the left common carotid artery were isolated. The aberrant left vertebral artery was transposed to the left common carotid artery, and the left subclavian artery was anastomosed to the left common carotid artery using a 7mm ringed vascular graft (GORE-TEX® vascular graft FEP removable ring 7 mm-70 cm, W.L. Gore & Associates Inc., USA). The proximal left subclavian artery was ligated to prevent endoleak. Two days later, the stent-graft (Valiant® Thoracic 40*150mm, Medtronic vascular, USA) was implanted, extending from zone 2 to the upper descending thoracic aorta.
Results : The patient was discharged without complications.
Conclusion : The aberrant left vertebral artery originating from the aortic arch can be safely transposed to the left common carotid artery through a supraclavicular approach.
Methods : A 63-year-old man with aberrant left vertebral artery originated from the aortic arch segment with aneurysmal change admitted our hospital for treatment of aortic arch aneurysm. The patient underwent arch vessel debranching surgery through a supraclavicular approach, and two days later, thoracic endovascular repair (TEVAR) was performed.
The left supraclavicular incision was performed and the left subclavian artery and the left common carotid artery were isolated. The aberrant left vertebral artery was transposed to the left common carotid artery, and the left subclavian artery was anastomosed to the left common carotid artery using a 7mm ringed vascular graft (GORE-TEX® vascular graft FEP removable ring 7 mm-70 cm, W.L. Gore & Associates Inc., USA). The proximal left subclavian artery was ligated to prevent endoleak. Two days later, the stent-graft (Valiant® Thoracic 40*150mm, Medtronic vascular, USA) was implanted, extending from zone 2 to the upper descending thoracic aorta.
Results : The patient was discharged without complications.
Conclusion : The aberrant left vertebral artery originating from the aortic arch can be safely transposed to the left common carotid artery through a supraclavicular approach.
책임저자: Sang Gi Oh
Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University College of Medicine, Gwangju, Korea
발표자: Kyo Seon Lee, E-mail : waytogosun@naver.com