Left Subclavian Artery Test Balloon Occlusion Before Covered Stent for Recoarctation and Aneurysm

Document Type

Article

Publication Date

4-22-2019

Publication Title

World Journal for Peiatric and Congenital Heart Surgery

Volume

11

Issue

4

First page number:

NP235

Last page number:

NP238

Abstract

A 57-year-old man, with a history of coarctation patch repair at three years of age, presented with left ventricular dilatation and moderate to severe dysfunction. A computed tomographic angiogram of the chest revealed moderate residual stenosis of the distal arch and proximal descending aorta and a large aneurysm adjacent to the origin of the left subclavian artery. Due to high surgical risk, a hybrid approach was undertaken with temporary balloon occlusion of the left subclavian artery, followed by surgical left common carotid to left subclavian artery graft and percutaneous covered stent implantation to relieve the obstruction and exclude the aneurysm.

Keywords

Aortic coarctation; Aneurysm; Stent; Subclavian artery occlusion

Disciplines

Cardiovascular Diseases | Cardiovascular System | Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Language

English

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