Document Detail

Repair of right carotid artery pseudoaneurysm in a patient with hostile aortic arch through left ventricular approach.
MedLine Citation:
PMID:  18331291     Owner:  NLM     Status:  MEDLINE    
We describe the case of an 81-year-old male who presented with a rapidly expanding neck hematoma from a common carotid artery pseudoaneurysm. Percutaneous repair using the right femoral artery approach was unsuccessful due to a hostile aortic arch. Using a small left thoracotomy and antegrade left ventricular access to the ascending aorta, a covered stent was successfully delivered at the site of the pseudoaneurysm. Our case provides proof-of-principle that complex carotid interventions can be performed expediently through a left ventricular approach in patients with hostile aortic arch.
Kishore J Harjai; John Anderson
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-06
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  21     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-20     Completed Date:  2008-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  239-41     Citation Subset:  IM    
Cardiac Catheterization Laboratories, Guthrie Clinic, One Guthrie Square, Sayre, PA 18840, USA.
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MeSH Terms
Aged, 80 and over
Aortic Arch Syndromes / complications*,  diagnosis
Blood Vessel Prosthesis Implantation / instrumentation,  methods*
Carotid Artery Injuries / complications*,  diagnosis,  surgery*
Heart Ventricles / surgery
Thoracotomy / methods*

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