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Endovascular management of spontaneous rupture of the left subclavian artery
Author(s) -
ArandaMichel Edgar,
Bianco Valentino,
Kilic Arman,
Gleason Thomas G.,
Sultan Ibrahim
Publication year - 2019
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.14091
Subject(s) - medicine , left subclavian artery , subclavian artery , surgery , dissection (medical) , aortic repair , radiology , cardiology , aneurysm , aortic arch , aorta
Spontaneous rupture of the left subclavian artery is a rare condition that requires immediate surgical intervention. A 21‐year‐old man with a history of membranoproliferative glomerulonephritis, failed kidney transplant, and history of a type A aortic dissection that was surgically repaired was admitted with altered mental status and hypotension. He was found to have a left subclavian artery rupture. This was successfully managed with emergent thoracic endovascular aortic repair and carotid‐subclavian bypass.