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Case Reports
. 2012 Apr;26(3):421.e1-5.
doi: 10.1016/j.avsg.2011.05.041. Epub 2012 Jan 30.

Management of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria)

Kiriakos Ktenidis  1 , Athanasios Lioupis, Argirios Giannopoulos, George Ginis, Dimitrios Kiskinis
Affiliations
Case Reports

Management of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria)

Kiriakos Ktenidis et al. Ann Vasc Surg. 2012 Apr.

Abstract

Background: To present an unusual case of blunt aortic injury in a 30-year-old male patient with an aberrant right subclavian artery.

Methods and results: Driven by the complicated and challenging nature of the case, we decided to treat the patient by a combined approach-right subclavian artery transposition and endograft implantation at the isthmus level. During the 24-month follow-up (clinical examination, angiogram, computed tomographic scan), we registered no complaints; normal perfusion of the right arm; and adequate sealing of the aortic tear.

Conclusions: We believe that the hybrid management of such trauma is a feasible, effective, and less-invasive option.

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