Migration of endovascular plug in hybrid repair of dysphagia lusoria

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Presentation transcript:

Migration of endovascular plug in hybrid repair of dysphagia lusoria Andrew J. Soo Hoo, MD, Chris K. Rokkas, MD, Peter J. Rossi, MD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 4, Issue 2, Pages 140-143 (June 2018) DOI: 10.1016/j.jvscit.2018.02.006 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Computed tomography (CT) reconstruction of posterior view of the aortic arch demonstrating aberrant right subclavian artery (ARSA) and Kommerell diverticulum. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 140-143DOI: (10.1016/j.jvscit.2018.02.006) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Immediate postoperative computed tomography (CT) showing the vascular occlusion plug (red arrow) just proximal to the origin of the right vertebral artery (yellow arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 140-143DOI: (10.1016/j.jvscit.2018.02.006) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Computed tomography (CT) arteriogram (left) demonstrates proximal migration of the vascular occlusion plug in the aberrant right subclavian artery (ARSA) compared with intraoperative angiogram (right) with tip at right vertebral artery origin. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 140-143DOI: (10.1016/j.jvscit.2018.02.006) Copyright © 2018 The Authors Terms and Conditions

Fig 4 Upper gastrointestinal contrast study demonstrating external esophageal compression (arrow) by vascular occlusion plug. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 140-143DOI: (10.1016/j.jvscit.2018.02.006) Copyright © 2018 The Authors Terms and Conditions