Bell KT, McKinney MR, Salazar PA, Esper E. Hybrid repair of an adult with a double aortic arch, coarctation of the aorta, and left subclavian artery aneurysm.
J Vasc Surg Cases Innov Tech 2019;
5:535-537. [PMID:
31799482 PMCID:
PMC6883313 DOI:
10.1016/j.jvscit.2019.06.006]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 06/13/2019] [Indexed: 11/05/2022]
Abstract
We report the repair of a double aortic arch, coarctation of the aorta, and left subclavian artery (LSCA) aneurysm using a hybrid procedure in a 47-year-old woman. The patient underwent repair through a median sternotomy incision to bypass the left common carotid artery and LSCA. An endovascular approach was used to repair the coarctation of the aorta and to occlude the right aortic arch. Repair of this anomaly was advised because of worsening clinical symptoms and potential for fatal rupture or dissection of the LSCA aneurysm. Hybrid repair simplified what would have required a multistage open repair.
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