Left carotid chimney and left subclavian artery laser fenestration for zone 1 thoracic endovascular aortic repair

Jen Huffman; Madeleine McSpadden; Joseph Buelter; Todd Vogel; Jonathan Bath

doi:10.1016/j.jvscit.2023.101283

Left carotid chimney and left subclavian artery laser fenestration for zone 1 thoracic endovascular aortic repair

J Vasc Surg Cases Innov Tech. 2023 Aug 2;9(3):101283. doi: 10.1016/j.jvscit.2023.101283. eCollection 2023 Sep.

Authors

Jen Huffman¹, Madeleine McSpadden², Joseph Buelter², Todd Vogel³, Jonathan Bath³

Affiliations

¹ Department of Surgery, University of Missouri, Columbia, MO.
² School of Medicine, University of Missouri, Columbia, MO.
³ Division of Vascular Surgery, University of Missouri, Columbia, MO.

Abstract

Thoracic endovascular aortic repair has become an increasingly used option for treatment of descending thoracic aortic aneurysms and dissections. Pathology involving the proximal thoracic aorta is more complex and requires revascularization of the subclavian and carotid arteries. We report a case of an arch thoracic aortic pseudoaneurysm repaired via a complete endovascular approach using a left carotid chimney and left subclavian artery laser fenestration.

Keywords: Chimney; Laser fenestration; Thoracic endovascular aortic repair (TEVAR).

Publication types

Case Reports