A ductus arteriosus aneurysm (DAA) is a rare but potentially fatal condition in adults. In the past, open surgery was the only available option for treatment. Nowadays, endovascular repair has emerged as a safe and less invasive treatment option for aortic aneurysms. However, there is little experience with DAA and its anatomic location can complicate endovascular repair. Here, we describe the case of a 69-year-old patient who presented with Ortner syndrome caused by DAA, which was successfully treated using a solely endovascular approach and a standard stent graft.
LundJTJensenMBHjelmsE. Aneurysm of the ductus arteriosus. a review of the literature and the surgical implications. Eur J Cardiothorac Surg. 1991;5(11):566–570.
2.
MulpuruSKVasavadaBCPunukolluGKPatelAG. Cardiovocal syndrome: a systematic review. Heart Lung Circ. 2008;17(1):1–4.
3.
KouchoukosNTDougenisD. Surgery of the thoracic aorta. N Engl J Med. 1997;336(26):1876–1888.
4.
TherasseESoulezGGirouxMF. Stent-graft placement for the treatment of thoracic aortic diseases. Radiographics. 2005;25(1):157–173.
5.
ChengDMartinJShennibH. Endovascular aortic repair versus open surgical repair for descending thoracic aortic disease a systematic review and meta-analysis of comparative studies. J Am Coll Cardiol. 2010;55(10):986–1001.
6.
ProbstCEsmailzadehBSchillerWWilhelmK. Emergent antegrade endovascular stent placement in a patient with perforated Stanford B dissection via right axillary artery. Eur J Cardiothorac Surg. 2008;33(6):1148–1149.
7.
PecoraroFPfammatterTLachatMMayerDVeithFRancicZ. A new off-pump hybrid open and endovascular repair to treat ductus Botalli and ascendens aneurysms. Vasc Endovascular Surg. 2012;46(2):172–175.
8.
SaitoNKimuraTTomaM. Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: case report and review of literature. J Vasc Surg. 2004;40(6):1228–1233.
9.
BeanMJJohnsonPTRoseboroughGSBlackJHFishmanEK. Thoracic aortic stent-grafts: utility of multidetector CT for pre- and postprocedure evaluation. Radiographics. 2008;28(7):1835–1851.
10.
SugimotoTTakahashiTInuiKMinowaTWatanabeTShimazakiY. Aneurysm of the ductus diverticulum in adults: the diagnostic value of three-dimensional computed tomographic scanning. Jpn J Thorac Cardiovasc Surg. 2003;51(10):524–527.
11.
UenoYShinozakiTShimamotoMOhkuboKUedaMAkiyamaF. Aneurysm of the diverticulum of the ductus arteriosus in the adult. Nihon Kyobu Geka Gakkai Zasshi. 1990;38(8):1356–1361.
12.
MitchellRSSeifertFCMillerDCJamiesonSWShumwayNE. Aneurysm of the diverticulum of the ductus arteriosus in the adult. Successful surgical treatment in five patients and review of the literature. J Thorac Cardiovasc Surg. 1983;86(3):400–408.
DunningJMartinJEShennibHChengDC. Is it safe to cover the left subclavian artery when placing an endovascular stent in the descending thoracic aorta?Interact Cardiovasc Thorac Surg. 2008;7(4):690–697.
16.
CaronnoRPiffarettiGTozziMLomazziCRivoltaNCastelliP. Intentional coverage of the left subclavian artery during endovascular stent graft repair for thoracic aortic disease. Surg Endosc. 2006;20(6):915–918.
17.
MeyerCProbstCStrunkHSchillerWWilhelmK. Second-generation Amplatzer Vascular Plug (AVP) for the treatment of subsequent subclavian backflow type II endoleak after TEVAR. Cardiovasc Intervent Radiol. 2009;32(6):1264–1267.
18.
AdamsJDTracciMCSabriS. Real-world experience with type I endoleaks after endovascular repair of the thoracic aorta. Am Surg. 2010;76(6):599–605.
