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Technical Strategy in a Patient with Symptomatic Thoracic Aneurysm Near the Origin of the Left Subclavian Artery and Left Internal Thoracic Artery Coronary Graft
Author(s) -
Babic Srdjan D.,
Radak Djordje J.,
Sotirovic Vuk A.,
UnicStojanovic Dragana R.,
Babic Dusan S.,
Popov Petar Z,
Sagic Dragan Z.
Publication year - 2012
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12018
Subject(s) - medicine , left subclavian artery , subclavian artery , internal thoracic artery , thoracic aortic aneurysm , internal carotid artery , aneurysm , cardiology , occlusion , common carotid artery , radiology , surgery , artery , cardiothoracic surgery , carotid arteries , aortic aneurysm , aorta , aortic arch , bypass grafting
Thoracic endovascular aortic repair (TEVAR) is a safe and reliable technique utilized in the treatment for aortic aneurysms. However, in up to 40% of patients, devices are typically placed over the left subclavian artery (LSA) origin. In this report, we present a case of a successful TEVAR procedure following the transposition of the LSA with protective carotico‐axillary/carotid bypass in a patient with a patent left internal thoracic artery (LITA)‐left anterior descending (LAD) coronary artery bypass graft and right internal carotid artery (ICA) occlusion. (J Card Surg 2012;27:725‐727)