Abstract

RODRIGUEZ-ASENSIO, Javier Hernán; SPOSITO, Gastón; MACIEL, Lorena Rocío  and  REY, María Rosario. Endovascular treatment of right subclavian aneurysm in bovine aortic arch. Angiología [online]. 2023, vol.75, n.5, pp.341-343.  Epub Dec 11, 2023. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00535.

Right subclavian aneurysm greater than 50mm in diameter in a patient with a bovine aortic arch. A selective digital angiography was performed as a complementary method to the CT angi-ography, confirming the diagnosis and complementing the necessary measurements. Successful endovascular treatment was performed by puncture of both common femoral arteries and left brachial artery, with 7 fr introducers achieving total angiographic control of the common trunk, making it possible to progress the aneurysmal neck only through the humeral approach. It was resolved satisfactorily by implanting two 7 × 39 and 6 × 29 VBX stent grafts. Agiographic control without signs of endoleak. Monitoring was carried out in the ICU 24 hours a day, transfer to the general ward 24 hours a day, with hospital discharge and control by outpatient clinics. Currently symptom free.

Keywords : Bovine bow; Aneurysm; Endovascular; Subclavian.

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