Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015;8(1):59-61.
doi: 10.3400/avd.cr.14-00123. Epub 2015 Mar 25.

Hybrid endovascular repair for an arch aneurysm combined with aberrant right subclavian artery

Masatoshi Komooka  1 , Shinichi Higashiue  1 , Satoshi Kuroyanagi  1 , Onichi Furuya  1 , Shiho Naito  1 , Saburo Kojima  1
Affiliations
Case Reports

Hybrid endovascular repair for an arch aneurysm combined with aberrant right subclavian artery

Masatoshi Komooka et al. Ann Vasc Dis. 2015.

Abstract

This report describes a hybrid endovascular approach to a 9.3-cm saccular aneurysm of the left sided aortic arch combined with an aberrant right subclavian artery. 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 aneurysm by covering the whole aortic arch and its branches. The patient had no postoperative complications and was discharged 10 postoperative day. Hybrid procedures may be useful in complex aortic arch pathologies and may reduce postoperative complications in comparison with conventional open surgery.

Keywords: TEVAR; aberrant right subclavian artery; hybrid surgery.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
(A, B) Preoperative enhanced computed tomography showed a huge saccular aneurysm of aortic arch which was 93 mm in diameter combined with a nonaneurysmal ARSA which arose as the fourth branch of the aortic arch and ran across the superior mediastinum posterior to the trachea and esophagus (C) Preoperative computed tomography angiography showed a huge saccular aneurysm of aortic arch combined with an ARSA in a left sided aortic arch. ARSA: aberrant right subclavian artery.
Fig. 2
Fig. 2
Postoperative computed tomography angiography showed complete exclusion of the aneurysm without endoleaks and successful cervical debranc.
See this image and copyright information in PMC

References

    1. Freed K, Low VH. The aberrant subclavian artery. Am J Roentgenol 1997; 168: 481-4. - PubMed
    1. Rosa P, Gillespie DL, Goff JM, et al. Aberrant right subclavian artery syndrome: a case of chronic cough. J VascSurg 2003; 37: 1318-21. - PubMed
    1. Kieffer E, Bahnini A, Koskas F. Aberrant subclavian artery: surgical treatment in thirty-three adult patients. J VascSurg 1994; 19: 100-11. - PubMed
    1. Brown DL, Chapman WC, Edwards WH, et al. Dysphagia lusoria: aberrant right subclavian artery with a Kommerell’s diverticulum. Am Surg 1993; 59: 582-6. - PubMed
    1. Esposito RA, Khalil I, Galloway AC, et al. Surgical treatment for aneurysm of aberrant subclabvian artery based on a case report and review of the literature. J Thorac Cardiovasc Surg 1988; 95: 888-91. - PubMed

Publication types

LinkOut - more resources