Gore CTAG Sleeve-associated Maldeployment for Traumatic Aortic Injury With Aberrant Right Subclavian Artery

Authors

Samuel Leonard
Brett Vernier
Kourosh Keyhani
Arash Keyhani
Akiko Tanaka
S Keisin Wang

Publication Date

9-1-2023

Journal

Journal of Vascular Surgery: Cases, Innovations and Techniques

Abstract

A 30-year-old woman presented following a motor vehicle collision with a grade III blunt thoracic aortic injury and an aberrant right subclavian artery. Using intraoperative ultrasound and diagnostic subtraction angiography, we deployed an aortic endograft (cTAG; W.L. Gore & Associates), excluding the injury and aberrant right subclavian artery. The patient immediately lost arterial waveforms in her left arm, confirming incidental coverage of the left subclavian artery, likely due to the polytetrafluoroethylene sheath of the endograft. Her pulses returned after placement of a left subclavian chimney via retrograde brachial artery access.

Keywords

Aberrant right subclavian artery, BTAI, Blunt traumatic aortic injury, Left subclavian artery, TEVAR