World Journal for Pediatric and Congenital Heart Surgery. 2019; 1-4

DOI: 10.1002/ccd.27932

Left Subclavian Artery Test Balloon Occlusion Before Covered Stent for Recoarctation and Aneurysm

Author

Abraham Rothman, MD, Michael L. Ciccolo, MD, Alvaro Galindo, MD, William N. Evans, MD

Source

Abraham Rothman, MD, Children’s Heart Center Nevada, 3006S Maryland

Parkway Ste 690, Las Vegas, NV 89109, USA.

Abstract

A 57-year-old man, with a history of coarctation patch repair at three years of age, presented with left ventricular dilatation and

moderate to severe dysfunction. A computed tomographic angiogram of the chest revealed moderate residual stenosis of the

distal arch and proximal descending aorta and a large aneurysm adjacent to the origin of the left subclavian artery. Due to high

surgical risk, a hybrid approach was undertaken with temporary balloon occlusion of the left subclavian artery, followed by surgical

left common carotid to left subclavian artery graft and percutaneous covered stent implantation to relieve the obstruction and

exclude the aneurysm.