Treatment of Aberrant Right Subclavian Artery Aneurysm with Endovascular Exclusion and Adjunctive Surgical Bypass

Corral, Juan Sánchez; Zúñiga, Claudio Gandarias; Sánchez, Javier; Guaita, Julia Ocaña; Basail, A. Mingo; Gimeno, Carmen Cuesta

doi:10.1097/01.rvi.0000079990.80153.fe

Cited by 47 publications

(40 citation statements)

References 6 publications

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“…Most of the published data available today rely on different surgical, endovascular, or hybrid techniques for treatment of multiple diseases (eg, obstructive, aneurysm, right or left sided) and lack homogeneous reporting. [1][2][3][4][5][6][7][8][16][17][18][19] The large variability of procedures, populations, morphology, type of aberrancy, and diseases leads to inconsistency and poor comparability of outcomes. However, a single optimal approach for any aberrant subclavian is likely unreliable today, but treatment should be better individualized and properly applied in experienced vascular tertiary centers able to offer alternative treatment strategies (open, hybrid, or endovascular) in elective and emergency settings.…”

Section: Discussionmentioning

confidence: 99%

Results of aberrant right subclavian artery aneurysm repair

Verzini

Isernia

Simonte

et al. 2015

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Results of aberrant right subclavian artery aneurysm repair

Verzini

Isernia

Simonte

et al. 2015

Journal of Vascular Surgery

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“…Although experience in combined surgical and endovascular treatment of aneurysmal ARSA is limited to only two single case reports [7,8], the technical results in our patient were excellent. So far, no peri-and postoperative complications can be reported.…”

Section: Discussionmentioning

confidence: 68%

Two-stage surgical and endovascular treatment of an aneurysmal aberrant right subclavian (Lusoria) artery

Attmann

Brandt

Müller‐Hülsbeck

et al. 2005

European Journal of Cardio-Thoracic Surgery

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We report a case of a 75-year-old male patient with an asymptomatic aneurysm of an aberrant right subclavian artery (ARSA). Timely elective therapy of this entity is indicated due to the high risk of rupture. Because of the patient's reduced physical state, we performed an interdisciplinary endovascular aortic stent-grafting for the exclusion of the ARSA aneurysm. However, the proximal landing zone for the thoracic stent had to be chosen proximal to the origin of the left subclavian artery. Thus, 2 days before the endovascular procedure, a left-sided carotido-subclavian bypass was accomplished. The peri- and postoperative course was uneventful. The technical results in our patient were excellent, no leakage was visible so far.

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“…[9][10][11][12][13][14] In the same fashion, endovascular repair of a descending thoracic aortic aneurysm in a right-sided aortic arch with aberrant LSA has been recently reported. 15,16 We present here a more extended hybrid endovascular treatment for a right-sided arch aneurysm associated with an aberrant LSA, due to the more complex anatomy of the vessels anomaly.…”

Section: Discussionmentioning

confidence: 93%

Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with Kommerell diverticulum

Frigatti

Grego

Deriu

et al. 2009

Journal of Vascular Surgery

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We present a hybrid endovascular approach to a 6.5-cm aneurysm of the right-sided aortic arch with an aberrant left subclavian artery arising from a Kommerell diverticulum, connected to the left pulmonary artery through the ligamentum arteriosum. The two-step procedure consisted of a bilateral carotid-subclavian bypass, followed by an ascending aorta-bicarotid bypass and completed by an endovascular exclusion of the aneurysms by covering the whole aortic arch and its branches. The patient had no complications and is asymptomatic 21 months after surgery. Hybrid procedures may be helpful in complex aortic arch pathologies, reducing complications of challenging open surgery.

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Treatment of Aberrant Right Subclavian Artery Aneurysm with Endovascular Exclusion and Adjunctive Surgical Bypass

Cited by 47 publications

References 6 publications

Results of aberrant right subclavian artery aneurysm repair

Results of aberrant right subclavian artery aneurysm repair

Two-stage surgical and endovascular treatment of an aneurysmal aberrant right subclavian (Lusoria) artery

Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with Kommerell diverticulum

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