Open surgical conversion for Type II endoleak following hybrid treatment of a giant aneurysm of aberrant right subclavian artery. Issue 3 (12th March 2019)

• Record Type: Journal Article
• Authors: Masciello, Fabrizio; Fargion, Aaron; Innocenti, Alessandro Alessi; Giacomelli, Elena; Voltolini, Luca; Dorigo, Walter; Pratesi, Carlo
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 3(2019)
• Publication Date: 2019-03-12
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz058
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Type II endoleak following hybrid treatment of aneurysms of aberrant subclavian arteries (AARSA) and requiring reintervention is rare. A retroesophageal AARSA with a 70 mm diameter was treated with left and right carotid to subclavian bypasses and thoracic endografting to exclude its ostium. The distal neck was embolized with a vascular plug. At 22 months postoperatively, an angio-computed tomography (CT) scan performed for worsening of dysphagia showed the presence of a Type II endoleak from bronchial arteries with significant sac enlargement. An open surgical repair with thoracotomy, aneurysmorraphy and ligature of the feeding vessels was successfully performed.