Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm

Aberrant right subclavian artery is a rare anatomical finding of abnormal embryologic development of the dorsal aorta and right subclavian artery. An associated aortic outpouching, or Kommerell diverticulum, may develop at the origin of the aberrant right subclavian artery. Given historically high r...

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Veröffentlicht in:Vascular 2014-12, Vol.22 (6), p.458-463
Hauptverfasser: Lamb, KM, Moudgill, N, Whisenhunt, AK, Ayad, M, Abai, B, Salvatore, D, DiMuzio, PJ
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container_end_page 463
container_issue 6
container_start_page 458
container_title Vascular
container_volume 22
creator Lamb, KM
Moudgill, N
Whisenhunt, AK
Ayad, M
Abai, B
Salvatore, D
DiMuzio, PJ
description Aberrant right subclavian artery is a rare anatomical finding of abnormal embryologic development of the dorsal aorta and right subclavian artery. An associated aortic outpouching, or Kommerell diverticulum, may develop at the origin of the aberrant right subclavian artery. Given historically high rates of aneurysm rupture and mortality, early repair is indicated. Successful aneurysm exclusion can be accomplished with thoracic endovascular stent grafting following open carotid-subclavian bypass, maintaining upper extremities perfusion. Such hybrid techniques offer a decrease in mortality and complication rates. Herein, we describe a successful repair of a symptomatic (dysphagia, weight loss) aberrant right subclavian artery with Kommerell diverticulum using this hybrid open-endovascular approach.
doi_str_mv 10.1177/1708538113518531
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subjects Aged, 80 and over
Aortic Diseases - diagnostic imaging
Aortic Diseases - surgery
Diverticulum - diagnostic imaging
Diverticulum - surgery
Endovascular Procedures - methods
Humans
Male
Radiography, Interventional
Subclavian Artery - diagnostic imaging
Subclavian Artery - pathology
Subclavian Artery - surgery
Tomography, X-Ray Computed - methods
title Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm
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