Two-Stage Redo Aortic Arch Repair in a Patient With an Isolated Left Vertebral Artery. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Kawajiri, Hidetake; Khasawneh, Mohammad A.; Bower, Thomas C.; Bagameri, Gabor
• Is Part Of: Innovations. Volume 15:Issue 4(2020)
• Page Start: 376
• Page End: 378
• Publication Date: 2020-07
• Subjects: isolated vertebral artery -- total arch replacement -- staged repair; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1177/1556984520922985
• Languages: English
• ISSNs: 1556-9845

Abstract

A 47-year-old male presented with an enlarging distal aortic arch false lumen 6 months status post ascending and hemiarch replacement with antegrade endograft insertion for acute type A aortic dissection complicated by lower body malperfusion. Preoperative computed tomographic angiography showed an isolated but dominant left vertebral artery. A 2-stage open surgical repair was performed. First, the left subclavian artery was transposed on the common carotid and vertebral onto the subclavian. At the second stage, a redo total arch reconstruction was done with bypass grafts taken to the innominate and left common carotid arteries. The patient did well postoperatively.