PMC5803983_01
Contrast-enhanced magnetic resonance angiography showing a large, saccular (pseudo) aneurysm (arrows) of the proximal, left common carotid artery
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Follow-up magnetic resonance angiography of the heart and thoracic large vessels 2 years later identified a saccular pseudoaneurysm of the proximal, left common carotid artery with a diameter of 17 mm [Figure 1], associated with recoarctation at the repair site.
(a) Selective left, common carotid angiography through the guiding catheter confirms the saccular (pseudo) aneurysm (arrows). (b) Expansion of the expanded-polytetrafluoroethylene-covered stent (arrows) in the proximal, left common carotid artery. (c) Flush aortography through pigtail catheter in the aortic arch demonstrates a fully patent-covered stent (arrows) completely excluding the (pseudo) aneurysm
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Natick, MA, USA) was navigated into the left common carotid artery over a stiff guidewire (Amplatz 0.035 inch, Cook Medical, Bjaeverskov, Denmark) [Figure 2a]. No cerebroprotection device was used. An expanded-polytetrafluoroethylene (e-PTFE)-covered balloon expandable stent (Atrium, Maquet, Rastatt, Germany) with a length of 38 mm was dilated up to 8 mm diameter [Figure 2b]. Completion carotid angiography revealed a fully patent stent completely excluding the (pseudo) aneurysm [Figure 2c].
Follow-up contrast-enhanced computed tomography showing the patent-covered stent (white arrows); the (pseudo) aneurysm is not visible anymore
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