Preserving the left subclavian artery patency in challenging proximal neck during thoracic endovascular aortic repair

Fabrizio Settepani, Giuseppe Maria Raffa, Pietro Giorgio Malvindi, Giuseppe Tarelli, Giorgio Brambilla, Vittorio Pedicini

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Abstract

Coverage of the left subclavian artery in thoracic endovascular aortic repair is still a controversial procedure. We report a case of 30-year-old patient with a chronic rupture of the aortic isthmus and short proximal lending zone (10 mm) treated by thoracic endovascular aortic repair using a balloon catheter inflated at the origin of the left subclavian artery (and protruding in the aortic arch) to both preserve the arterial branch patency and fully exploit the proximal neck.

Original languageEnglish
JournalJournal of Cardiovascular Medicine
DOIs
Publication statusAccepted/In press - May 16 2014

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Subclavian Artery
Thorax
Aortic Rupture
Thoracic Aorta
Catheters

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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AU - Settepani, Fabrizio

AU - Raffa, Giuseppe Maria

AU - Malvindi, Pietro Giorgio

AU - Tarelli, Giuseppe

AU - Brambilla, Giorgio

AU - Pedicini, Vittorio

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AB - Coverage of the left subclavian artery in thoracic endovascular aortic repair is still a controversial procedure. We report a case of 30-year-old patient with a chronic rupture of the aortic isthmus and short proximal lending zone (10 mm) treated by thoracic endovascular aortic repair using a balloon catheter inflated at the origin of the left subclavian artery (and protruding in the aortic arch) to both preserve the arterial branch patency and fully exploit the proximal neck.

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