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- Pierre Galvagni Silveira, Rafael Narciso Franklin, Josué Rafael Ferreira Cunha, Thais Torres Neves, Gilberto Galego Nascimento, and Cristiano Torres Bortoluzzi.
- Universidade Federal de Santa Catarina, Santa Catarina, Brazil. pierre.gs@me.com
- J. Vasc. Surg. 2013 Apr 1; 57 (4): 1123-5.
AbstractWe describe a case of Kommerell's diverticulum involving the distal portion of a right-sided aortic arch and the origin of an aberrant left subclavian artery (LSA). The patient underwent a total endovascular repair with the use of a modified Valiant endograft (Medtronic, Minneapolis, Minn) to which a branch was attached to keep LSA patency. Postoperative computed tomography showed complete exclusion of the lesion, without endoleaks. The use of "customized off-label" devices to treat special conditions was feasible in this case, keeping patency of the LSA without risk of arm claudication or the requirement for a complementary surgical bypass.Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
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