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 |
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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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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.</description><identifier>ISSN: 1708-5381</identifier><identifier>EISSN: 1708-539X</identifier><identifier>DOI: 10.1177/1708538113518531</identifier><identifier>PMID: 24493059</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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</subject><ispartof>Vascular, 2014-12, Vol.22 (6), p.458-463</ispartof><rights>The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-a735368630eded1c42f09389b13f62266bf7edd736ff60bba2733108f5463d773</citedby><cites>FETCH-LOGICAL-c337t-a735368630eded1c42f09389b13f62266bf7edd736ff60bba2733108f5463d773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1708538113518531$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1708538113518531$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24493059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lamb, KM</creatorcontrib><creatorcontrib>Moudgill, N</creatorcontrib><creatorcontrib>Whisenhunt, AK</creatorcontrib><creatorcontrib>Ayad, M</creatorcontrib><creatorcontrib>Abai, B</creatorcontrib><creatorcontrib>Salvatore, D</creatorcontrib><creatorcontrib>DiMuzio, PJ</creatorcontrib><title>Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm</title><title>Vascular</title><addtitle>Vascular</addtitle><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.</description><subject>Aged, 80 and over</subject><subject>Aortic Diseases - diagnostic imaging</subject><subject>Aortic Diseases - surgery</subject><subject>Diverticulum - diagnostic imaging</subject><subject>Diverticulum - surgery</subject><subject>Endovascular Procedures - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Radiography, Interventional</subject><subject>Subclavian Artery - diagnostic imaging</subject><subject>Subclavian Artery - pathology</subject><subject>Subclavian Artery - surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>1708-5381</issn><issn>1708-539X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UM9LwzAYDaI4nd49SY5eqkm-NmmPMtSJAy8KHoSSNMnW0a4zSSf9783Y3EHw9P167_G-h9AVJbeUCnFHBckzyCmFjMaGHqGz7SrJoPg4PvQ5HaFz75eEAGGUn6IRS9MCSFacoc_poFytsVnpbiN91TfS4eCMDK1ZBdxZLFdYKuOcjKOr54uAfa-qRm7q7cUF4wb8XYcFfuna1jjTNJFiejf49gKdWNl4c7mvY_T--PA2mSaz16fnyf0sqQBESKSADHjOgRhtNK1SZkkBeaEoWM4Y58oKo7UAbi0nSkkmACjJbZZy0ELAGN3sdNeu--qND2Vb-yo6iUa63peUs_gvZCmLULKDVq7z3hlbrl3dSjeUlJTbTMu_mUbK9V69V63RB8JviBGQ7ABezk257Hq3it_-L_gD2O1-5w</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Lamb, KM</creator><creator>Moudgill, N</creator><creator>Whisenhunt, AK</creator><creator>Ayad, M</creator><creator>Abai, B</creator><creator>Salvatore, D</creator><creator>DiMuzio, PJ</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm</title><author>Lamb, KM ; Moudgill, N ; Whisenhunt, AK ; Ayad, M ; Abai, B ; Salvatore, D ; DiMuzio, PJ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-a735368630eded1c42f09389b13f62266bf7edd736ff60bba2733108f5463d773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged, 80 and over</topic><topic>Aortic Diseases - diagnostic imaging</topic><topic>Aortic Diseases - surgery</topic><topic>Diverticulum - diagnostic imaging</topic><topic>Diverticulum - surgery</topic><topic>Endovascular Procedures - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Radiography, Interventional</topic><topic>Subclavian Artery - diagnostic imaging</topic><topic>Subclavian Artery - pathology</topic><topic>Subclavian Artery - surgery</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lamb, KM</creatorcontrib><creatorcontrib>Moudgill, N</creatorcontrib><creatorcontrib>Whisenhunt, AK</creatorcontrib><creatorcontrib>Ayad, M</creatorcontrib><creatorcontrib>Abai, B</creatorcontrib><creatorcontrib>Salvatore, D</creatorcontrib><creatorcontrib>DiMuzio, PJ</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lamb, KM</au><au>Moudgill, N</au><au>Whisenhunt, AK</au><au>Ayad, M</au><au>Abai, B</au><au>Salvatore, D</au><au>DiMuzio, PJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm</atitle><jtitle>Vascular</jtitle><addtitle>Vascular</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>22</volume><issue>6</issue><spage>458</spage><epage>463</epage><pages>458-463</pages><issn>1708-5381</issn><eissn>1708-539X</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24493059</pmid><doi>10.1177/1708538113518531</doi><tpages>6</tpages></addata></record> |
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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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