Letter to editor: Editor: Treatment possibilities for aberrant right subclavian artery aneurysm (ARSAA) have evolved over time and, besides classical surgical correction, now include hybrid approaches consisting of supra-aortic vessel debranching and thoracic endovascular aortic repair (TEVAR).1 We report a unique case of total endovascular repair of an ARSAA with off-label use of a Zenith Alpha Abdominal Converter (Cook, Inc, Bloomington, Indiana). Institutional review board approval was not required for this report. A 78-year-old man with a medical history of hypertension, chronic obstructive pulmonary disease, monocular blindness after retinal vein occlusion, and dialysis for end-stage renal disease was scheduled to undergo asymptomatic ARSAA repair. The patient had a Kommerell diverticulum at the origin of the arteria lusoria, with a 60-mm saccular aneurysm just distal to the infundibular portion (Fig 1). The thoracic aorta was nonaneurysmal. The anatomy appeared to be suitable for endovascular repair, and the infundibular proximal arterial segment was thought to be sufficient to serve as a proximal neck for stent graft placement. Thus, total endovascular single vessel repair was planned with deployment of a Zenith Alpha Abdominal Converter via the right axillary artery.

Total Endovascular Repair of Aberrant Right Subclavian Artery Aneurysm without Endograft Modification or Aortic Stent Placement

Cieri E.
Conceptualization
;
2019

Abstract

Letter to editor: Editor: Treatment possibilities for aberrant right subclavian artery aneurysm (ARSAA) have evolved over time and, besides classical surgical correction, now include hybrid approaches consisting of supra-aortic vessel debranching and thoracic endovascular aortic repair (TEVAR).1 We report a unique case of total endovascular repair of an ARSAA with off-label use of a Zenith Alpha Abdominal Converter (Cook, Inc, Bloomington, Indiana). Institutional review board approval was not required for this report. A 78-year-old man with a medical history of hypertension, chronic obstructive pulmonary disease, monocular blindness after retinal vein occlusion, and dialysis for end-stage renal disease was scheduled to undergo asymptomatic ARSAA repair. The patient had a Kommerell diverticulum at the origin of the arteria lusoria, with a 60-mm saccular aneurysm just distal to the infundibular portion (Fig 1). The thoracic aorta was nonaneurysmal. The anatomy appeared to be suitable for endovascular repair, and the infundibular proximal arterial segment was thought to be sufficient to serve as a proximal neck for stent graft placement. Thus, total endovascular single vessel repair was planned with deployment of a Zenith Alpha Abdominal Converter via the right axillary artery.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11391/1462253
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