First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerellâ€™s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
Spontaneous ruptured aneurysm involving an aberrant subclavian artery with a right-sided aortic arch and Kommerellâ€™s diverticulumis a rare life-threatening condition that can be treated successfully if promptly identified. Multidetector Computed Tomography angiography is the first line imaging modality of thoracic vascular anomalies diagnosis. We report the case of a 74-year-old man suffering from this emergency ondition with mediastinal hematoma mostly extending to the left-side extrapleural cavity. The patient underwent successful emergency thoracic endovascular aortic repair and an Amplatzer vascular plug was placed into the first segment of the ALSA. Post-procedural imaging showed complete exclusion of the aneurysm. Emergency endovascular repair can be effective in such cases.
- Abstract views: 264
- PDF: 143
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.