Successfully Kissing Stent of Innominate Artery and Left Common Carotid Artery Subsequent to Blunt Injury, in the Setting of a Bovine Aortic Arch.
Ann Vasc Surg
; 64: 410.e7-410.e10, 2020 Apr.
Article
em En
| MEDLINE
| ID: mdl-31639480
ABSTRACT
Blunt injuries of the great vessels arising from the aortic arch are usually fatal. The innominate artery lesions represent the most common site of injury after the aortic isthmus distal to the left subclavian artery. Injuries are usually located at the origin of the vessel from the aortic arch, especially in patients with bovine aortic arch. Open traditional repair is a successful but invasive treatment, with long hospital stay and different possible complications. Although a bovine aortic arch presents an increased technical challenge, it is possible to achieve a complete and safe repair of the innominate artery injuries through a total endovascular treatment, with important reduction of risks and complications related to operation, compared to traditional open repair. We report the case of a 62-year-old man in our hospital with a posttraumatic pseudoaneurysm of the innominate artery in the setting of a bovine aortic arch, associated with a transection of the descending thoracic aorta. In the urgent setting, the patient was submitted to a kissing stent of innominate artery-left common carotid artery and deployment of thoracic endoprosthesis to exclude the aortic transection, with good final result.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
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Ferimentos não Penetrantes
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Stents
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Tronco Braquiocefálico
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Artéria Carótida Primitiva
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Falso Aneurisma
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Lesões do Sistema Vascular
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Procedimentos Endovasculares
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article