Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with Marfan syndrome

The Annals of Thoracic Surgery
Gregory A StanleyJ Michael DiMaio

Abstract

We report the case of a 26-year-old female patient with Marfan syndrome and an aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum. The patient presented with spontaneous acute dissection of the ARSA that showed fusiform dilation to 4 cm in diameter. Definitive treatment was performed using a two-stage hybrid endovascular technique, including extrathoracic bilateral upper extremity bypass and thoracic endovascular aortic repair with debranching of the right and left subclavian arteries. This was followed by coil and plug embolization to exclude the dissection and prevent subsequent endoleak.

References

Aug 27, 1998·Journal of Vascular Surgery·M DavidianM D Dake
Jun 27, 2006·The Annals of Thoracic Surgery·Hiroyuki KamiyaMatthias Karck

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Citations

Jan 5, 2014·The Annals of Thoracic Surgery·Makoto SamuraKimikazu Hamano
Sep 13, 2015·Annals of Vascular Surgery·Paul V Kochupura, James P Greelish
Dec 5, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Eduard QuintanaAlberto Pochettino
Oct 10, 2014·Annals of Vascular Diseases·Vincenzo CatanesePiergiorgio Settembrini
Feb 1, 2015·General Thoracic and Cardiovascular Surgery·Akiko TanakaTakeyoshi Ota
Feb 5, 2013·Journal of Vascular Surgery·Nicholas D AndersenG Chad Hughes
Dec 18, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Sujatha P BhandaryShiva Sale
Jul 21, 2021·The Annals of Thoracic Surgery·Benjamin W HaleMark D Norris
Jun 7, 2021·Seminars in Thoracic and Cardiovascular Surgery·Nishant Saran, Alberto Pochettino

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