Key result
Implantation of a fenestrated stent-graft was effective for treating a thoracic aortic aneurysm, but resulted in left subclavian artery occlusion requiring subsequent stenting at 6 months.
Case Report (n=1)
Implantation of a fenestrated stent-graft for thoracic aortic aneurysm and dissection was effective but required subsequent stenting of the left subclavian artery due to occlusion.
The authors present endovascular treatment of a patient with stenosis of the left anterior descending artery, chronic DeBakey type III aortic dissection and thoracic aortic aneurysm. The first stage was percutaneous coronary intervention with stenting of the left anterior descending artery. The second stage implied implantation of a fenestrated stent-graft. The follow-up CT angiography after 6 months revealed occlusion of the left subclavian artery that required stenting. Control CT angiography confirmed adequate stent-graft placement without endoleaks and stenosis of the artery. The choice of these reconstructions and stages of interventions are substantiated. The authors concluded effectiveness of treatment strategy, as well as the need for preventive subclavian artery stenting after implantation of a fenestrated graft.
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Chernyavsky et al. (2023) conducted a case report in Stenosis of the left anterior descending artery, chronic DeBakey type III aortic dissection and thoracic aortic aneurysm (n=1). Implantation of a fenestrated stent-graft was evaluated. Implantation of a fenestrated stent-graft was effective for treating a thoracic aortic aneurysm, but resulted in left subclavian artery occlusion requiring subsequent stenting at 6 months.
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