Baig Mirza Anzar A, Alfozan Abdullah S, Guzman Tania, Basahai Izzat Abdulla, Chowdhury Sharfuddin, Osman Isam
Department of Vascular and Endovascular Surgery, King Saud Medical City, Riyadh, Saudi Arabia.
Department of Interventional Radiology, King Saud Medical City, Riyadh, Saudi Arabia.
J Vasc Surg Cases Innov Tech. 2019 Jun 25;5(3):235-238. doi: 10.1016/j.jvscit.2018.12.009. eCollection 2019 Sep.
Aberrant origin of the left vertebral artery (LVA) can pose a challenge during thoracic endovascular aortic repair. We encountered such a patient who was involved in a motor vehicle accident in whom computed tomography angiography revealed a grade IIIB blunt aortic injury with an anomalous origin of the LVA distal to the origin of the left subclavian artery. On-table aortography confirmed dominance of the LVA. Hence, an open left carotid-vertebral and then left carotid-subclavian artery bypass was performed, followed by thoracic endovascular aortic repair. The patient recovered well and was discharged home 3 days later.
左椎动脉（LVA）起源异常在胸段血管腔内主动脉修复术中可能构成挑战。我们遇到一名患者，他遭遇了机动车事故，计算机断层血管造影显示为III B级钝性主动脉损伤，左椎动脉起源异常，位于左锁骨下动脉起源的远端。术中主动脉造影证实左椎动脉占优势。因此，先进行了开放性左颈动脉-椎动脉搭桥术，然后进行左颈动脉-锁骨下动脉搭桥术，随后进行胸段血管腔内主动脉修复术。患者恢复良好，3天后出院回家。
Zotero 插件
