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Hybrid approach in a case of arterial tortuosity syndrome

^a Department of Cardio-Thoracic and Respiratory Sciences, Second University of Naples, Naples, Italy
^b Department of Cardiology, Second University of Naples, Naples, Italy

*Corresponding author. Tel.: +39 347 3359845; fax: +39 081 5464594.

E-mail address: marianovicchio{at}libero.it (M. Vicchio).

Arterial tortuosity syndrome is a rare connective tissue disorder characterised by elongation, tortuosity, stenosis and aneurysms of the large and middle-sized arteries. The symptomatology is correlated to the artery affected by the pathology with correlated stenosis. We describe our hybrid surgical procedure in the treatment of a case of kinking of the pulmonary branches with significant gradient and hypertension. Aortic arch and supraaortic vessels presented various deviousness without hemodynamic alterations.

Key Words: Pulmonary arteries; Anatomy; Stents