• Ann Vasc Surg · Aug 2014

    Case Reports

    Successful hybrid management of extensive thromboembolism of the innominate trunk, right subclavian artery, bilateral common carotid artery, and pulmonary embolism.

    • Emiliano Chisci, Leonardo Ercolini, Eugenio Romano, Nicola Troisi, and Stefano Michelagnoli.
    • Department of Surgery, Vascular and Endovascular Surgery Unit, San Giovanni di Dio Hospital, Florence, Italy. Electronic address: emiliano.chisci@asf.toscana.it.
    • Ann Vasc Surg. 2014 Aug 1; 28 (6): 1566.e1-5.

    AbstractSymptomatic acute carotid occlusion demands treatment, but the exact treatment to be provided in the case of acute occlusion of 3 supra-aortic vessels is not well established. Herein, we describe the successful emergency hybrid management of a massive thromboembolic occlusion of the right subclavian artery, common carotid artery, and innominate trunk, associated with left arm hemiparesis, motor aphasia, and confusion, and extensive pulmonary embolism. The diagnostic work-up and the hybrid surgical strategy adopted are described. Neurologic symptoms had completely regressed at discharge and the patient was free of any complications at the 3-month follow-up. Copyright © 2014 Elsevier Inc. All rights reserved.

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