Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with Marfan syndrome

Gregory A. Stanley, Frank R. Arko, Mazin I. Foteh, Michael E. Jessen, J. Michael Dimaio

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

We report the case of a 26-year-old female patient with Marfan syndrome and an aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum. The patient presented with spontaneous acute dissection of the ARSA that showed fusiform dilation to 4 cm in diameter. Definitive treatment was performed using a two-stage hybrid endovascular technique, including extrathoracic bilateral upper extremity bypass and thoracic endovascular aortic repair with debranching of the right and left subclavian arteries. This was followed by coil and plug embolization to exclude the dissection and prevent subsequent endoleak.

Original languageEnglish (US)
Pages (from-to)639-641
Number of pages3
JournalAnnals of Thoracic Surgery
Volume94
Issue number2
DOIs
StatePublished - Aug 1 2012

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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