Korean J Med.
2014 Aug;87(2):193-199. 10.3904/kjm.2014.87.2.193.
Hybrid Treatment of an Aortic Arch Aneurysm with an Aberrant Right Subclavian Artery
- Affiliations
-
- 1Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. glaraone@hanmail.net
- 2Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
- KMID: 1710030
- DOI: http://doi.org/10.3904/kjm.2014.87.2.193
Abstract
- Aberrant right subclavian artery (ARSA) is a rare congenital anomaly but is the most common of the congenital vascular anomalies of the aortic arch. We report the case of a 68-year-old female undergoing chemotherapy for multiple myeloma who had a large thoracic aortic aneurysm (7.4 cm) with ARSA. She was treated with a hybrid procedure that combined a left common carotid-to-subclavian artery bypass with a "thoracic endovascular aortic repair (TEVAR)" because of the risk associated with a thoracotomy. A stent graft was deployed in the proximal part of the descending aorta to cover the thoracic aortic aneurysm after a left common carotid-to-subclavian bypass was made to restore blood flow in the left arm. There was no endoleak on digital subtraction angiography. Hybrid therapy can be performed successfully for the treatment of thoracic aortic aneurysm with ARSA.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Total Arch Replacement for Chronic Aortic Aneurysmal Dissection Patient with Aberrant Subclavian Artery
- Hybrid Treatment for Thoracic Aortic Aneurysm Combined with Aberrant Right Subclavian Artery
- Coexistence of Aberrant Right Subclavian Artery and Common Carotid Trunk
- Right aortic arch with aberrant left subclavian artery
- A Case of Kommerell's Diverticulum with Aortic Dissection
