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Li X, Shu C, Li QM, Fang K, Li M, Cai W. Innominate artery bifurcation pseudoaneurysm repair by "kissing stent-grafts technique": a case report. J Med Case Rep 2018; 12:352. [PMID: 30477574 PMCID: PMC6258396 DOI: 10.1186/s13256-018-1840-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Accepted: 09/07/2018] [Indexed: 11/21/2022] Open
Abstract
Background We introduce the “kissing stent-grafts technique” for a patient who suffered from a pseudoaneurysm in bifurcation of innominate artery. This technique repaired an innominate artery bifurcation pseudoaneurysm; it successfully isolated the pseudoaneurysm and preserved both right subclavian and right common carotid artery. Case presentation A 60-year-old Asian (Chinese) woman complained of discovering a cervical pulsatile mass. A pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons. To our knowledge, this is the first case to use the “kissing stent-grafts technique” in treating innominate bifurcation pseudoaneurysm. With this minimally invasive endovascular treatment, our patient avoided open surgery and recovered quickly. Conclusions When treating vascular lesions with complicated anatomy, endovascular treatment always has the merit of being minimally invasive. “Kissing stent-grafts technique” can be useful in locations other than coronary and aortic bifurcation.
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Affiliation(s)
- Xin Li
- Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.,Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China
| | - Chang Shu
- Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China. .,State Key Laboratory of Cardiovascular Disease, Center of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 10037, People's Republic of China. .,Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.
| | - Quan Ming Li
- Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.,Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China
| | - Kun Fang
- Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.,Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China
| | - Ming Li
- Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.,Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China
| | - Wenwu Cai
- Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.,Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China
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