Japanese Journal of Vascular Surgery
Online ISSN : 1881-767X
Print ISSN : 0918-6778
Case Reports
Three Cases Report of Debranching TEVAR with Isolated Left Vertebral Artery Reconstruction
Yukihiro Nishimoto Akimasa MorisakiYoshito SakonYosuke TakahashiToshihiko Shibata
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JOURNAL OPEN ACCESS

2024 Volume 33 Issue 3 Pages 155-160

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Abstract

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.

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この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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