Fenestrated Thoracic Endovascular Repair for Acute Type B Aortic Dissection with Isolated Left Vertebral Artery: A Case Report

• DOI: 10.3400/avd.cr.23-00067
• Publication Date: 2024-01-16T22:10:28Z
• Authors: Yuta Yamada; Takao Ohki; Naoki Toya; Eisaku Ito; Hikaru Nakagawa
• Keywords: Left subclavian artery; Aortic repair; Acute aortic syndrome

Thoracic endovascular aortic repair (TEVAR) of acute uncomplicated type B dissection (uTBAD) has been discussed for its potential to prevent future events. We present a fenestrated TEVAR in the case an 86-year-old man with uTBAD isolated left vertebral artery (ILVA). The ILVA originated from distal side subclavian artery, and intramural hematoma ulcer-like projection extended close artery. selected stent graft achieve proximal healthy landing. This demonstrates that is useful preserving arch vessels.