Medicina, Vol. 57 No. 3, 2021.
Recenzija, Prikaz slučaja
https://doi.org/10.21860/medflum2021_261193
Acute left arm ischemia after TEVAR due to the anatomical variation of the vertebral artery – case report
Josip Figl
orcid.org/0000-0001-6755-8656
; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Damir Halužan
; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Predrag Pavić
; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Tomislav Meštrović
; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Irena Šnajdar
; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Dino Papeš
; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Sažetak
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.
Ključne riječi
carotid artery; ischemia; subclavian artery; thoracic aortic aneurysm; vertebral artery
Hrčak ID:
261193
URI
Datum izdavanja:
1.9.2021.
Posjeta: 833 *