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Innominate artery bifurcation pseudoaneurysm repair by "kissing stent-grafts technique": a case report
Xin Li1,2, Chang Shu3,4,5, Quan Ming Li1,2
1Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.
Background:
We introduce the "kissing stent-grafts technique" for a patient who suffered from a pseudoaneurysm in bifurcation of innominate artery. This technique repaired an innominate artery bifurcation pseudoaneurysm; it successfully isolated the pseudoaneurysm and preserved both right subclavian and right common carotid artery.
Case Presentation:
A 60-year-old Asian (Chinese) woman complained of discovering a cervical pulsatile mass. A pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons. To our knowledge, this is the first case to use the "kissing stent-grafts technique" in treating innominate bifurcation pseudoaneurysm. With this minimally invasive endovascular treatment, our patient avoided open surgery and recovered quickly.
Conclusions:
When treating vascular lesions with complicated anatomy, endovascular treatment always has the merit of being minimally invasive. "Kissing stent-grafts technique" can be useful in locations other than coronary and aortic bifurcation.

