A Case of the Subclavian Artery Aneurysm of Marfan Syndrome after Total Aortic Repair Which Was Treated with Hybrid Operation

Abstract

The case was forty years old man with Marfan syndrome. The right subclavian artery aneurysm after total aortic repair was treated with the hybrid operation consisting of endovascular treatment and surgical treatment. After coil embolization of the branch of subclavian artery aneurysm, common carotid artery was exposed. The stentgraft was deployed from brachiocephalic artery to common carotid artery. The subclavian artery was exposed by supraclavian approach, a bypass surgery (right common carotid artery–subclavian artery bypass) was done with T synthetic graft. The postoperative complication had not occurred and the patient was discharged after 11th hospital day.