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CHIRURGIA

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Chirurgia 2010 August;23(4):117-20

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

Endovascular repair of a symptomatic aneurysm of the right subclavian artery in a reversed-trombone-technique

Staiger W., Hettrich P., Gahlen J.

Clinic for Vascular and Endovascular Surgery, Ludwigsburg, Germany


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This report presents a successful endovascular repair of an aneurysm of the right subclavian artery with covered rupture. The patient, an 82-year-old man, presented emergently with an acute onset of retrosternal and right thoracic chest pain. During the last 5 years he had been treated for an assumed pulmonary metastasis from a prostate cancer. Instead of pulmonary metastasis the CT-scan revealed a large aneurysm of the proximal subclavian artery with a maximum diameter of 5.7 cm and signs of covered rupture. We successfully excluded this aneurysm with tapered administration site using two different overlapping VIABAHN® endografts within reverse-trombone-technique via transbrachial open access.

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