First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair

First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’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 Kommerell’s diverticulumis a rare life-threatening condition that can be treated successfully if promptly identified. Multidetector Computed Tomography angiography is the first line imaging modal...

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Bibliographic Details
Main Authors: Giacomo Sica, Giovanni Dialetto, Giorgio Bocchini, Giulia Lassandro, Gaetano Rea, Massimo Muto, Tullio Valente
Format: Article
Language:English
Published: PAGEPress Publications 2020-09-01
Series:Monaldi Archives for Chest Disease
Subjects:
Right-sided aortic arch
computed tomography angiography
endovascular repair
Online Access:https://www.monaldi-archives.org/index.php/macd/article/view/1322
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spelling doaj-13f28c6bb4a1439db2082a0a5bc5e91c2020-11-25T03:54:37ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642020-09-0190410.4081/monaldi.2020.1322First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repairGiacomo Sica0Giovanni Dialetto1Giorgio Bocchini2Giulia Lassandro3Gaetano Rea4Massimo Muto5Tullio Valente6Radiology Unit, Monaldi Hospital, NaplesDepartment of Cardiac Surgery, Monaldi Hospital, NaplesRadiology Unit, Monaldi Hospital, NaplesRadiology Unit, Monaldi Hospital, NaplesRadiology Unit, Monaldi Hospital, NaplesRadiology Unit, Monaldi Hospital, NaplesRadiology Unit, Monaldi Hospital, NaplesSpontaneous ruptured aneurysm involving an aberrant subclavian artery with a right-sided aortic arch and Kommerell’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. https://www.monaldi-archives.org/index.php/macd/article/view/1322Right-sided aortic archcomputed tomography angiographyendovascular repair
collection DOAJ
language English
format Article
sources DOAJ
author Giacomo Sica
Giovanni Dialetto
Giorgio Bocchini
Giulia Lassandro
Gaetano Rea
Massimo Muto
Tullio Valente
spellingShingle Giacomo Sica
Giovanni Dialetto
Giorgio Bocchini
Giulia Lassandro
Gaetano Rea
Massimo Muto
Tullio Valente
First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
Monaldi Archives for Chest Disease
Right-sided aortic arch
computed tomography angiography
endovascular repair
author_facet Giacomo Sica
Giovanni Dialetto
Giorgio Bocchini
Giulia Lassandro
Gaetano Rea
Massimo Muto
Tullio Valente
author_sort Giacomo Sica
title First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
title_short First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
title_full First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
title_fullStr First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
title_full_unstemmed First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
title_sort first mdct evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair
publisher PAGEPress Publications
series Monaldi Archives for Chest Disease
issn 1122-0643
2532-5264
publishDate 2020-09-01
description Spontaneous ruptured aneurysm involving an aberrant subclavian artery with a right-sided aortic arch and Kommerell’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.
topic Right-sided aortic arch
computed tomography angiography
endovascular repair
url https://www.monaldi-archives.org/index.php/macd/article/view/1322
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