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Endovascular Repair of Ruptured Aberrant Left Subclavian Artery With Right Aortic Arch  Manabu Motoki, MD, Koji Hattori, MD, Yasuyuki Kato, MD, Yosuke.

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Presentation on theme: "Endovascular Repair of Ruptured Aberrant Left Subclavian Artery With Right Aortic Arch  Manabu Motoki, MD, Koji Hattori, MD, Yasuyuki Kato, MD, Yosuke."— Presentation transcript:

1 Endovascular Repair of Ruptured Aberrant Left Subclavian Artery With Right Aortic Arch 
Manabu Motoki, MD, Koji Hattori, MD, Yasuyuki Kato, MD, Yosuke Takahashi, MD, Shinsuke Kotani, MD, Shinsuke Nishimura, MD, Toshihiko Shibata, MD  The Annals of Thoracic Surgery  Volume 95, Issue 2, Pages (February 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Preoperative computed tomography. (A) The anterior view of the three-dimensional image shows the right aortic arch. The first branch, or the aortic arch, is the left common carotid; the second is the right common carotid; the third is the right subclavian; and the fourth is the aberrant left subclavian artery. The descending aorta is severely tortuous. (B) The lateral view of the three-dimensional image shows the acute angulation of the aortic arch. The origin of the aberrant left subclavian artery forms an aneurysmal change. (C) Computed tomography shows the hematoma in the mediastinum and left hemothorax. The arrow points to the rupture site. (KD = Kommerell diverticulum; LCCA = left common carotid artery; LSA = left subclavian artery; RCCA = right common carotid artery; RSA = right subclavian artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Postoperative computed tomography. (A) The anterior view of the three-dimensional image shows the stent-grafts deployed at the descending aorta. The left carotid-subclavian bypass is patent. (B) Computed tomography demonstrates total exclusion with no sign of endoleaks and shrinkage of both the descending aorta and the Kommerell diverticulum. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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