2024 Volume 33 Issue 3 Pages 155-160
Isolated left vertebral artery (ILVA) is one of the common variations of the aortic arch branch. However, there are few reports of ILVA reconstruction in debranching thoracic endovascular repair (TEVAR). Case 1 was a 66-year-old woman and Case 2 was a 29-year-old woman. In both cases, the left common carotid artery (LCCA)–left subclavian artery (LSCA) bypass and ILVA were anastomosed directly onto the LCCA, and 1-debranching TEVAR was performed in Case 1 and 1-fenestrated, 1-debranching TEVAR was performed in Case 2. Case 3 was an 80-year-old man with distal arch saccular aneurysm with LCCA–LSCA bypass and 1-debrancing TEVAR. There were no obvious postoperative neurological complications in these three cases. ILVA was relatively easy to reconstruct and good results were obtained.
