Fully percutaneous treatment of an aberrant right subclavian artery and thoracic aortic aneurysm

Abstract An aberrant right subclavian artery (ARSA) is a rare arterial anomaly. Although a few cases of total endovascular repair for the ARSA aneurysm have been previously reported, anatomical limitations and the possibility of endoleaks remained. In this case, we created 4 holes on the stent graft for each cervical branch, with reference to the preoperative computed tomography findings. This approach might enable us to repair all types of thoracic aortic aneurysms with ARSA with each anatomical feature.

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Aortic Arch Replacement for Thoracic Aortic Aneurysm Combined with Aberrant Right Subclavian Artery: Two Case Reports

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.36.88 ◽

2007 ◽

Vol 36 (2) ◽

pp. 88-91 ◽

Cited By ~ 5

Author(s):

Hitoshi Kanamitsu ◽

Hidenori Yoshitaka ◽

Masahiko Kuinose ◽

Yoshimasa Tsushima ◽

Hitoshi Minami ◽

...

Keyword(s):

Aortic Aneurysm ◽

Aortic Arch ◽

Subclavian Artery ◽

Thoracic Aortic Aneurysm ◽

Case Reports ◽

Aberrant Right Subclavian Artery ◽

Aortic Arch Replacement

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Hybrid Treatment for Thoracic Aortic Aneurysm Combined with Aberrant Right Subclavian Artery

Korean Circulation Journal ◽

10.4070/kcj.2013.43.1.66 ◽

2013 ◽

Vol 43 (1) ◽

pp. 66 ◽

Cited By ~ 2

Author(s):

Joong-Hee Lee ◽

Young-Guk Ko ◽

Young-Nam Yoon ◽

Donghoon Choi ◽

Do-Yun Lee

Keyword(s):

Aortic Aneurysm ◽

Subclavian Artery ◽

Thoracic Aortic Aneurysm ◽

Aberrant Right Subclavian Artery ◽

Hybrid Treatment

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Successful Endovascular Repair of a Mycotic Thoracic Aortic Aneurysm via Subclavian Artery Approach: A Case Report

10.1055/s-0041-1729090 ◽

2020 ◽

Author(s):

Asim Shah ◽

Alaaeldin Ginawi

Keyword(s):

Case Report ◽

Aortic Aneurysm ◽

Subclavian Artery ◽

Endovascular Repair ◽

Thoracic Aortic Aneurysm

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Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm Associated with a Right Aortic Arch and a Left Subclavian Artery Arising from a Kommerell’s Diverticulum

CardioVascular and Interventional Radiology ◽

10.1007/s00270-008-9469-3 ◽

2008 ◽

Vol 32 (4) ◽

pp. 758-761 ◽

Cited By ~ 10

Author(s):

Chris Klonaris ◽

Efthimios D. Avgerinos ◽

Athanasios Katsargyris ◽

Alexandros Matthaiou ◽

Sotirios Georgopoulos ◽

...

Keyword(s):

Aortic Aneurysm ◽

Aortic Arch ◽

Subclavian Artery ◽

Endovascular Repair ◽

Thoracic Aortic Aneurysm ◽

Left Subclavian Artery ◽

Right Aortic Arch ◽

Descending Thoracic Aortic Aneurysm ◽

Kommerell’S Diverticulum

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Thoracic Aortic Aneurysm With Aortic Pseudocoarctation Involving the Left Subclavian Artery

Annals of Vascular Surgery ◽

10.1016/j.avsg.2012.08.015 ◽

2013 ◽

Vol 27 (6) ◽

pp. 802.e5-802.e7

Author(s):

Katsukiyo Kitabayashi ◽

Masayuki Sakaki ◽

Kanta Araki ◽

Ai Shibamoto ◽

Hiroki Mizoguchi ◽

...

Keyword(s):

Aortic Aneurysm ◽

Subclavian Artery ◽

Thoracic Aortic Aneurysm ◽

Left Subclavian Artery

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Open Repair of Thoracoabdominal Aortic Aneurysm in a 46-Year-Old Man with Pleural Adhesions and Aberrant Right Subclavian Artery

Texas Heart Institute Journal ◽

10.14503/thij-17-6274 ◽

2018 ◽

Vol 45 (3) ◽

pp. 179-181

Author(s):

Jae Hyun Kim ◽

Kyung Sub Song ◽

Jae Bum Kim

Keyword(s):

Aortic Aneurysm ◽

Aortic Dissection ◽

Subclavian Artery ◽

Open Surgery ◽

Open Repair ◽

Thoracoabdominal Aortic Aneurysm ◽

Aortic Aneurysms ◽

Aberrant Right Subclavian Artery ◽

Multiple Abnormalities ◽

Complex Cases

Endovascular aortic treatment is being performed more often and offers some advantages over open surgery. Nevertheless, open repair of thoracoabdominal aortic aneurysms is still relevant in complex cases, including combined chronic aortic dissection, congenital aortic abnormalities such as aberrant right subclavian artery, and dense pleural adhesions after a previous thoracotomy. We describe our successful use of open repair in a 46-year-old man who had these multiple abnormalities.

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Successful Two-Staged Surgical Treatment for a Thoracoabdominal Aortic Aneurysm Combined with an Aberrant Right Subclavian Artery, Kommerell's Diverticulum, and Angina Pectoris

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.37.302 ◽

2008 ◽

Vol 37 (5) ◽

pp. 302-305

Author(s):

Yasunori Iida ◽

Yukio Obitsu ◽

Naozumi Saiki ◽

Nobusato Koizumi ◽

Hiroshi Shigematsu

Keyword(s):

Surgical Treatment ◽

Angina Pectoris ◽

Aortic Aneurysm ◽

Subclavian Artery ◽

Thoracoabdominal Aortic Aneurysm ◽

Aberrant Right Subclavian Artery ◽

Kommerell’S Diverticulum

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Aortic Debranching for Descending Thoracic Aortic Aneurysm Repair by Stent Grafts

The American Surgeon ◽

10.1177/000313480707300108 ◽

2007 ◽

Vol 73 (1) ◽

pp. 32-36

Author(s):

Chandra Cherukupalli ◽

Amit J. Dwivedi ◽

Rajeev Dayal ◽

Khambapatty V. Krishnasastry

Keyword(s):

Aortic Aneurysm ◽

Stent Graft ◽

Subclavian Artery ◽

Thoracic Aortic Aneurysm ◽

Left Subclavian Artery ◽

Artery Bypass ◽

Celiac Artery ◽

Stent Grafts ◽

Descending Thoracic Aortic Aneurysm ◽

Aneurysm Repair

Endovascular repair of a descending thoracic aortic aneurysm may result in covering the ostia of the left carotid or left subclavian artery for proper proximal landing zones, and the celiac artery or superior mesenteric artery ostia in the abdomen for distal landing zones. To prevent possible complications of occluding the ostia of these vessels, the authors performed an innominate to left common carotid and left subclavian artery bypass as the first procedure in one patient. In the second patient they performed an aortoceliac and aortomesenteric bypass before stent graft placement. The stent graft repair of the descending thoracic aortic aneurysm was performed subsequently in both patients. This aortic debranching provides subsequent proper placement of thoracic stent grafts.

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