A Case of Aneurysm of the Thoracic Aorta with a Singular Region of Origin in a Vertebral Artery

Abstract

The patient was a 76-year-old man who suddenly lost consciousness. An aneurysm of the thoracic aorta and an aneurysm of the abdominal aorta were found on computed tomography.
An innovative surgical approach was contemplated because of the presence of a thoracic aneurysm (57 mm). The patient had a history of an old myocardial infarction. Since the patient's general condition was not good, a thoracic endovascular repair was chosen. Once it was confirmed on magnetic resonance imaging that there were no issues with vascular communications in the head and neck surgery was done. The stent was placed directly under the bifurcation of the left common carotid artery. No complications of cerebral ischemia were noted after the operation.
In this case, a good postoperative result was obtained even though the left vertebral artery was blocked.