Transposition of left subclavian artery with reimplantation of isolated left vertebral artery before thoracic endovascular aneurysm repair for type B aortic dissection

Authors

Michael Chaney, Advocate Aurora HealthFollow
Victor Martinez-Zavala, Advocate Aurora HealthFollow
Rym El Khoury, Division of Vascular Surgery, University of California, San Francisco, San Francisco, CA.
Gaurang Joshi, Advocate Aurora HealthFollow
Chad E. Jacobs, Advocate Aurora HealthFollow
John V. White, Advocate Aurora HealthFollow
Lewis B. Schwartz, Advocate Aurora HealthFollow

Recommended Citation

Chaney M, Martinez-Zavala V, El Khoury R, et al. Transposition of left subclavian artery with reimplantation of isolated left vertebral artery before thoracic endovascular aneurysm repair for type B aortic dissection. J Vasc Surg Cases Innov Tech. 2022;8(2):222-226. Published 2022 Mar 22. doi:10.1016/j.jvscit.2022.03.004

Affiliations

Advocate Lutheran General Hospital

Abstract

Understanding and recognizing anatomic anomalies of the aortic arch is important when planning extra-anatomic debranching before thoracic endovascular aortic repair. A rare anomaly is the left vertebral artery aberrantly arising from the aortic arch; found in ∼5% of adults. When present, the artery courses through the carotid sheath at a variable length before entering the third or fourth cervical transverse foramen. In the present report, we have described the case of a 49-year-old man with a symptomatic, enlarging type B aortic dissection with an aberrant left vertebral artery and the novel methods used to surgically correct his pathology.

Document Type

Article

PubMed ID

35493343