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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2014 April;55(2):265-9

lingua: Inglese

Endovascular treatment of extracranial vertebral artery aneurysm and aberrant right subclavian artery aneurysm

Ronchey S., Serrao E., Kasemi H., Fazzini S., Mangialardi N.

Department of Vascular Surgery San Filippo Neri Hospital, Rome, Italy


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We report an endovascular approach that used to treat a symptomatic extracranial vertebral artery aneurysm associated to an asymptomatic aberrant right subclavian artery aneurysm. A 54-year-old man presented with neck pain, vertigo and loss of balance. The computed tomography (CT) scan demonstrated a left extracranial vertebral artery aneurysm that compressed and eroded the C5 vertebra associated to an aberrant right subclavian artery aneurysm. Endovascular exclusion of the vertebral aneurysm using a covered stent and a hybrid treatment of the aberrant subclavian artery aneurysm were performed. The 13th month follow-up CT scan confirmed the stent-grafts and supra-aortic vessels patency. The endovascular treatment represents a good option for these complex pathologies with excellent immediate results, reduces the complication rate and the hospital stay if compared to open repair. Long-term follow-up is necessary. To our knowledge this is a unique case in the literature.

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n.mangialardi@sanfilipponeri.roma.it