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

  • Lee, Joong-Hee (Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System) ;
  • Ko, Young-Guk (Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System) ;
  • Yoon, Young-Nam (Division of Cardiovascular Surgery, Yonsei Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Choi, Donghoon (Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System) ;
  • Lee, Do-Yun (Department of Radiology, Yonsei University College of Medicine)
  • Published : 2013.01.30

Abstract

An aberrant right subclavian artery (ARSA) is the most common vascular abnormality of the aortic arch and is associated with development of aneurysms in 3-8% of these anomalies. In this case report, we describe an 84-year-old man with a symptomatic ARSA treated with staged hybrid procedure combining surgical replacement of the ascending aorta and bilateral carotid-to-subclavian artery bypass with implantation of a stent graft in the aortic arch and descending aorta. Our case suggests that a less invasive hybrid therapy can be performed successfully for the treatment of ARSA with aneurysmal change in patients at high surgical risk.

Keywords

References

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Cited by

  1. Hybrid Treatment of an Aortic Arch Aneurysm with an Aberrant Right Subclavian Artery vol.87, pp.2, 2013, https://doi.org/10.3904/kjm.2014.87.2.193