Can the left subclavian artery revascularization during aortic arch surgery be managed using the in situ left internal mammary artery?

Paolo Magagna; Giovanni Domenico Cresce; Stefano Auriemma; Loris Salvador

doi:10.1093/icvts/ivw098

Can the left subclavian artery revascularization during aortic arch surgery be managed using the in situ left internal mammary artery?

Interact Cardiovasc Thorac Surg. 2016 Jul;23(1):1-3. doi: 10.1093/icvts/ivw098. Epub 2016 Apr 7.

Authors

Paolo Magagna¹, Giovanni Domenico Cresce², Stefano Auriemma¹, Loris Salvador¹

Affiliations

¹ Division of Cardiac Surgery, San Bortolo Hospital, Vicenza, Italy.
² Division of Cardiac Surgery, San Bortolo Hospital, Vicenza, Italy gd.cresce@yahoo.it.

Abstract

The management of the left subclavian artery (LSA) revascularization during aortic arch surgery is controversial and often challenging, especially during an emergency life-saving procedure. We report on a case of a 64-year old man, admitted to our institution with a Type A acute aortic dissection who underwent a frozen elephant trunk procedure with debranching of the supra-aortic vessels completed with an LSA revascularization using the in situ left internal mammary artery.

Keywords: Great vessels; Left subclavian artery revascularization; Thoracic aorta.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / surgery*
Blood Vessel Prosthesis Implantation / methods*
Humans
Male
Mammary Arteries / transplantation*
Middle Aged
Subclavian Artery / surgery*
Time Factors
Treatment Outcome
Vascular Grafting*