Endovascular Repair of an Aortic Arch Aneurysm in a Patient with a Hypoplastic Left Vertebral Artery Terminating into the Posterior Inferior Cerebellar Artery

被引:1
作者
Sato, Katsutoshi [1 ]
Emura, Shogo [1 ]
Tomiyoshi, Hideki [2 ]
Morita, Satoru [1 ]
机构
[1] Natl Hosp Org, Higashihiroshima Med Ctr, Dept Cardiovasc Surg, 513 Jike, Higashihiroshima, Hiroshima 7390041, Japan
[2] Natl Hosp Org, Higashihiroshima Med Ctr, Dept Radiol, Higashihiroshima, Hiroshima, Japan
关键词
thoracic endovascular aortic repair; aortic arch aneurysm; posterior inferior cerebellar artery; LEFT SUBCLAVIAN ARTERY; SURGERY; BYPASS;
D O I
10.3400/avd.cr.19-00078
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
We present a 76-year-old male with an aortic arch aneurysm and a hypoplastic left vertebral artery (VA). Endovascular repair with left subclavian artery (SCA) closure was planned. The right VA was dominant, while the left VA was hypoplastic, barely connected to the basilar artery, and appeared to terminate at the posterior inferior cerebellar artery (PICA). The VA sizes and flow patterns during ultrasonography confirmed these findings. Therefore, we performed endovascular repair with left SCA reconstruction to prevent ischemia of the PICA perfusion area. After the operation, he experienced no difficulty with brain perfusion.
引用
收藏
页码:555 / 558
页数:4
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