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Case Reports
. 2023 Aug 29;9(4):101307.
doi: 10.1016/j.jvscit.2023.101307. eCollection 2023 Dec.

Hybrid repair of aberrant right subclavian artery using open and endovascular techniques

Daniel Nguyen  1 , Luis R Leon  2   3 , Scott S Berman  2   3
Affiliations
Case Reports

Hybrid repair of aberrant right subclavian artery using open and endovascular techniques

Daniel Nguyen et al. J Vasc Surg Cases Innov Tech. .

Abstract

An aberrant right subclavian artery, the most common anatomic variant of the aortic arch, occurs in 0.5% of the population. Symptoms generally result from compression of the esophagus and/or trachea as the aberrant vessel passes posteriorly in the mediastinum. Treatment includes revascularization of the right subclavian artery from the right common carotid artery using a cervical approach combined with occlusion of the origin of the aberrant vessel from the thoracic aorta. We describe a hybrid treatment approach for a symptomatic aberrant right subclavian artery using cervical revascularization and branched thoracic stent graft coverage of the origin of the aberrant vessel.

Keywords: Aberrant right subclavian artery; Branched thoracic endograft.

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Conflict of interest statement

None.

Figures

Fig 1
Fig 1
Preoperative computed tomography angiogram. A, Axial image demonstrating aberrant right subclavian artery (red arrow) and compressed esophagus (blue arrow) between the artery and trachea. B, Three-dimensional reconstruction demonstrating the relationship between the aberrant right subclavian artery and remaining brachiocephalic branches.
Fig 2
Fig 2
Intraoperative angiography before (A) and after (B) hybrid repair with right subclavian-to-carotid artery transposition and placement of a branched thoracic endovascular stent graft.
Fig 3
Fig 3
Axial view of postoperative computed tomography angiogram demonstrating resolution of esophageal compression (blue arrow).
See this image and copyright information in PMC

References

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