PMC4386767_01
Preoperative computed tomographic angiography. Arrow indicates a ruptured false aneurysm of the left subclavian artery.
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Computed tomographic (CT) angiography revealed an intrathoracic ruptured false aneurysm (54 mm) of the left subclavian artery with contrast in both main stem bronchi (Figure 1).
Perioperative angiograms. Arrows indicate (A) aneurysmal bag and (B) covered stent.. Abbreviations: LVA, left vertebral artery; LIMA, left internal mammary artery.
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Atrium Medical Corporation, Hudson, NH, USA) was positioned on the arterial lesion. Angiography during surgery showed successful exclusion of the ruptured aneurysm with no endoleak and preservation of the left vertebral and left internal mammary artery (Figure 2A and B).
Three-dimensional reconstruction after surgery.
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CT angiography at one week (Figure 3) and one month showed exclusion of the aneurysm, patency of the covered stent, and downsizing of the diameter of the aneurysmal sac.
Follow-up computed tomographic angiography at 3 years.. Note: Arrow indicates covered stent.
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Follow-up is now out to more than 3 years (Figure 4).