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Technical Strategy in a Patient with Symptomatic Thoracic Aneurysm Near the Origin of the Left Subclavian Artery and Left Internal Thoracic Artery Coronary Graft
Authors:Srdjan D. Babic M.D.   Ph.D.  Djordje J. Radak M.D.   Ph.D.  Vuk A. Sotirovic M.D.  Dragana R. Unic‐Stojanovic M.D.  Dusan S. Babic M.D.  Petar Z Popov M.D.   Ph.D.  Dragan Z. Sagic M.D.   Ph.D.
Affiliation:1. Institute for Cardiovascular Disease “Dedinje”, Belgrade, Serbia;2. Belgrade University School of Medicine, Belgrade, Serbia;3. Department of Vascular Surgery, Institute for Cardiovascular Disease “Dedinje”, Belgrade, Serbia;4. Department of Anesthesiology, Institute for Cardiovascular Disease “Dedinje”, Belgrade, Serbia;5. Department of Interventional Radiology, Institute for Cardiovascular Disease “Dedinje”, Belgrade, Serbia
Abstract:Abstract Thoracic endovascular aortic repair (TEVAR) is a safe and reliable technique utilized in the treatment for aortic aneurysms. However, in up to 40% of patients, devices are typically placed over the left subclavian artery (LSA) origin. In this report, we present a case of a successful TEVAR procedure following the transposition of the LSA with protective carotico‐axillary/carotid bypass in a patient with a patent left internal thoracic artery (LITA)‐left anterior descending (LAD) coronary artery bypass graft and right internal carotid artery (ICA) occlusion. (J Card Surg 2012;27:725‐727)
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