Hybrid Endovascular Repair for Dysphagia Lusoria in a Patient with Marfan Syndrome

Abstract

Hybrid En- dovascular Repair for Dysphagia Lusoria in a Patient with Marfan Syndrome. aberrant subclavian artery focal dissection aneurysmal degeneration The aorta measured 33mm both proximally and distally, and the right subclavian artery the aorta 15mm distal to a widely patent left subclavian artery. There was moderate dilatation of the left subclavian artery, and it was unclear whether it would be possible to clamp this both proximally and distally. Therefore, the right carotid artery was identified and an open right subclavian to carotid artery trans position was performed through a standard neck incision. Then, a 38mm×38mm×100mm proximal free flow Valiant™ (Medtronic Inc, Santa Rosa, CA) device was used to cover the origin of the aberrant right subclavian artery. Completion arteriography and intravascular ultrasound were performed, demonstrating excellent proximal and distal fixation with no evidence of endoleak or dissection. There was antegrade flow through both carotids as well as the left subclavian artery. Abstract Objective: We present the case of a 51-year-old male with dysphagia lusoria and Marfan syndrome treated with a hybrid repair. Methods: Review of chart and pre- and post-operative imaging was performed. Results: The patient presented with a seven-year history of