Endovascular treatment of an aneurysmal aberrant right subclavian artery.
(2003) Journal of Endovascular Therapy — Vol. 10, n° 2, p. 190-194 (2003)
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- Abstract
- PURPOSE: To describe combined endovascular and surgical management of a complex aneurysmal aberrant right subclavian artery (RSA). CASE REPORT: A 75-year-old obese man with severe chronic obstructive pulmonary disease was referred for treatment of a 6.8-cm aneurysm of an aberrant right subclavian artery. A stent-graft was deployed in the proximal part of the descending aorta to cover the origin of the dilated aberrant RSA, and then a venous carotid-subclavian bypass was made to restore blood flow in the right arm. In a second stage, the prevertebral segment of the aberrant RSA was embolized to avoid retrograde perfusion of the aneurysm. CONCLUSIONS: Combined endovascular and surgical treatment of an aneurysmal aberrant subclavian artery is feasible, safe, and effective. This less invasive approach could be the treatment of choice in high-risk patients.
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Citations
Lacroix, V., Astarci, P., Devaux, P., Goffette, P., Hammer, F., Verhelst, R., & Noirhomme, P. (2003). Endovascular treatment of an aneurysmal aberrant right subclavian artery. Journal of Endovascular Therapy, 10(2), 190-194. https://doi.org/10.1583/1545-1550(2003)010<0190:ETOAAA>2.0.CO;2 (Original work published 2003)