Author:
Nobuo Kondo,Hodaka Wakisaka,Yuta Kawashima,Kazuki Kihara,Takahiro Noda,Kensuke Oue
Abstract
Abstract
Background
Although the transposition of the aberrant left vertebral artery (ALVA) in 1-debranching thoracic endovascular aortic repair requiring zone 2 coverage for thoracic aneurysm with ALVA is reported to be an effective option, there are few reports of complications associated with the transposition of the ALVA.
Case presentation
An 87-year-old man underwent 1-debranching thoracic endovascular repair for a saccular thoracic aortic aneurysm with the aberrant left vertebral artery. Simultaneously, the transposition of the ALVA was performed to prevent cerebral complications because the left vertebral artery was dominant. Postoperative computed tomography revealed the reconstructed vertebral artery and no endoleak. However, a postoperative chyle leak occurred and was treated with lymphangiography.
Conclusion
Although the ALVA transposition is one of the better options, a chyle leak should be considered a serious complication of the procedure.
Publisher
Springer Science and Business Media LLC
Reference10 articles.
1. Takei Y, Hori T, Fukuda H, et al. Modified total arch debranching TEVAR with aberrant left vertebral artery. Ann Vasc Dis. 2018;11:545–8.
2. Yang G, Chen H, Zang L, et al. Transposition of isolated left vertebral artery in hybrid thoracic endovascular aortic repair. Front Cardiovasc Med. 2021;14:8.
3. Celikyay ZR, Koner AE, Firat, et al. MM. Frequency and imaging findings of variations in human aortic arch anatomy based on multidetector computed tomography data. Clin Imaging 2013; 37: 1011-1119.
4. Dumfarth J, Chou AS, Ziganshin BA, et al. Atypical aortic arch branching variants: a novel marker for thoracic aortic disease. J Thorac Cardiovasc Surg. 2015;149:1586–92.
5. Popieluszko P, Henry BM, Sanna B, et al. A systematic review and meta-analysis of variations in branching patterns of the adult aortic arch. J Vasc Surg. 2018;68:298–306.