Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm
Abstract Background An aberrant right subclavian artery (ARSA) is a relatively prevalent vascular anomaly. What is the most appropriate treatment for thoracic aortic aneurysm combined a non-aneurysmal change ARSA? Case presentation A 52-year-old man was admitted to our institute due to a history of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-018-0817-3 |
| _version_ | 1819161691348271104 |
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| author | Tae Yun Kim Kyung Hwa Kim |
| author_facet | Tae Yun Kim Kyung Hwa Kim |
| author_sort | Tae Yun Kim |
| collection | DOAJ |
| description | Abstract Background An aberrant right subclavian artery (ARSA) is a relatively prevalent vascular anomaly. What is the most appropriate treatment for thoracic aortic aneurysm combined a non-aneurysmal change ARSA? Case presentation A 52-year-old man was admitted to our institute due to a history of chronic cough, dysphagia and an abnormal chest radiographic finding. Because of his progressive symptoms and large fusiform thoracic aneurysm, we performed the hybrid repair for simultaneous relief of an ARSA causing dysphagia and thoracic aneurysm. Conclusion In case without aneurysm of ARSA, especially in conjunction with approximate thoracic aneurysm, our approach is suitable because the revascularization using the right carotid to subclavian artery re-routing prior to endograft deployment is justified in order to preserve circulation of posterior brain, spinal cord, internal mammary artery and upper limb and to prevent large retrograde type II endoleaks, as well as simplicity and durability. |
| first_indexed | 2024-12-22T17:16:22Z |
| format | Article |
| id | doaj.art-815eb40cd84d43428eea27376661f6d1 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-22T17:16:22Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-815eb40cd84d43428eea27376661f6d12022-12-21T18:18:58ZengBMCJournal of Cardiothoracic Surgery1749-80902018-12-011311410.1186/s13019-018-0817-3Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysmTae Yun Kim0Kyung Hwa Kim1Department of Thoracic and cardiovascular surgery, Chonbuk National University Medical School, Chonbuk National University HospitalDepartment of Thoracic and cardiovascular surgery, Chonbuk National University Medical School, Chonbuk National University HospitalAbstract Background An aberrant right subclavian artery (ARSA) is a relatively prevalent vascular anomaly. What is the most appropriate treatment for thoracic aortic aneurysm combined a non-aneurysmal change ARSA? Case presentation A 52-year-old man was admitted to our institute due to a history of chronic cough, dysphagia and an abnormal chest radiographic finding. Because of his progressive symptoms and large fusiform thoracic aneurysm, we performed the hybrid repair for simultaneous relief of an ARSA causing dysphagia and thoracic aneurysm. Conclusion In case without aneurysm of ARSA, especially in conjunction with approximate thoracic aneurysm, our approach is suitable because the revascularization using the right carotid to subclavian artery re-routing prior to endograft deployment is justified in order to preserve circulation of posterior brain, spinal cord, internal mammary artery and upper limb and to prevent large retrograde type II endoleaks, as well as simplicity and durability.http://link.springer.com/article/10.1186/s13019-018-0817-3Aberrant right subclavian arteryProximal descending aortic aneurysm |
| spellingShingle | Tae Yun Kim Kyung Hwa Kim Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm Journal of Cardiothoracic Surgery Aberrant right subclavian artery Proximal descending aortic aneurysm |
| title | Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm |
| title_full | Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm |
| title_fullStr | Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm |
| title_full_unstemmed | Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm |
| title_short | Aberrant right subclavian artery re-routing for hybrid repair of proximal descending aortic aneurysm |
| title_sort | aberrant right subclavian artery re routing for hybrid repair of proximal descending aortic aneurysm |
| topic | Aberrant right subclavian artery Proximal descending aortic aneurysm |
| url | http://link.springer.com/article/10.1186/s13019-018-0817-3 |
| work_keys_str_mv | AT taeyunkim aberrantrightsubclavianarteryreroutingforhybridrepairofproximaldescendingaorticaneurysm AT kyunghwakim aberrantrightsubclavianarteryreroutingforhybridrepairofproximaldescendingaorticaneurysm |