Open AccessAkutna ishemija lijeve ruke nakon TEVAR-a zbog anatomske varijante vertebralne arterije
Author(s) -
Josip Figl,
Damir Halužan,
Predrag Pavić,
Tomislav Meštrović,
Irena Šnajdar,
Dino Papeš
Publication year - 2021
Publication title -
medicina fluminensis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.116
H-Index - 10
eISSN - 1848-820X
pISSN - 1847-6864
DOI - 10.21860/medflum2021_261193
Subject(s) - medicine , subclavian artery , left subclavian artery , thoracic aortic aneurysm , surgery , stent , aortic arch , common carotid artery , ischemia , cardiothoracic surgery , aneurysm , complication , vertebral artery , aortic aneurysm , radiology , aorta , cardiology , carotid arteries
Aim: In this case we report acute left arm ischemia after thoracic endovascular aortic repair of the saccular thoracic aortic aneurysm due to a rare anatomical variation of the left vertebral artery. Case report: Thoracic aortic stent-graft was deployed to cover the aneurysm, but six hours later acute left arm ischemia occurred due to a rare form of vertebral artery origin from the aortic arch instead of from the left subclavian artery. This hostile anatomy led to an iatrogenic acute ischemia which was the indication for an emergency left-common-carotid-to-subclavian-artery bypass grafting. Conclusion: Multidisciplinary approach and careful pre-procedural planning should always be the standard procedure in complex cases to avoid this complication.