Abstract:
PURPOSE:To describe the use of custom fenestrated endografts to preserve left subclavian artery (SCA) flow when requiring coverage during endovascular repair of blunt aortic injury (BAI). CASE REPORT:A 39-year-old male involved in a motor vehicle accident sustained injuries including intracranial hemorrhage, BAI, and extremity fractures. Immediate neurosurgical intervention was required. Once neurologically stabilized, endovascular repair was performed with a commercially available device modified with a custom fenestration to preserve flow into the left SCA. Serial follow-up CT angiography (CTA) demonstrates satisfactory repair with prograde left SCA flow and no evidence of endoleak. CONCLUSION:Left SCA coverage is often required for successful endovascular repair of BAI. A subgroup of patients who undergo left SCA coverage will require revascularization. The use of custom fenestrated endografts for preserving left SCA during thoracic endovascular aortic repair (TEVAR) for BAI is an innovative and feasible option in patients who require revascularization.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Gilani R,Ochoa L,Wall MJ Jr,Tsai PI,Mattox KLdoi
10.1177/1538574411413939subject
Has Abstractpub_date
2011-08-01 00:00:00pages
549-52issue
6eissn
1538-5744issn
1938-9116pii
1538574411413939journal_volume
45pub_type
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