Joshua Sylvan, Roy K. Greenberg, MD, Tara M. Mastracci, MD, Matthew J

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Presentation transcript:

Treatment of a patient with vertebral and subclavian aneurysms in the setting of a TGFBR2 mutation Joshua Sylvan, Roy K. Greenberg, MD, Tara M. Mastracci, MD, Matthew J. Eagleton, MD, Rocio Moran, MD Journal of Vascular Surgery Volume 57, Issue 4, Pages 1116-1119 (April 2013) DOI: 10.1016/j.jvs.2012.09.067 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Best demonstration of the extent of the patient's aneurysmal disease. Note the aneurysms throughout the cervical portion of the right vertebral, large aneurysm of the left subclavian, and origin of the left vertebral arteries. B, Reconstructed computed tomographic image. Journal of Vascular Surgery 2013 57, 1116-1119DOI: (10.1016/j.jvs.2012.09.067) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Total repair with a saphenous vein graft originating from the proximal right carotid artery and terminating end to end with the right vertebral at the C1-2 interface, a stent graft traversing the left subclavian aneurysm, and coil embolization of the left proximal vertebral artery. B, Computed tomographic reconstruction demonstrating the proximal balloon-expandable stent extending slightly into the aorta. C, Angiographic image showing the self-expanding stent grafts into the axillary artery. Journal of Vascular Surgery 2013 57, 1116-1119DOI: (10.1016/j.jvs.2012.09.067) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Selective injection of contrast into the right vertebral artery bypass, which traverses the circle of Willis (A) and then travels retrograde into the left subclavian aneurysm through the coils (B). Journal of Vascular Surgery 2013 57, 1116-1119DOI: (10.1016/j.jvs.2012.09.067) Copyright © 2013 Society for Vascular Surgery Terms and Conditions