Retroesophageal Subclavian Artery Aneurysm Arising from Kommerell's Diverticulum
This report describes a novel technique used for management of retroesophageal subclavian artery aneurysm arising from Kommerell's diverticulum. The procedure consists of endoaortic exclusion of the aneurysmal neck, using a prosthetic patch after sternotomy during circulatory arrest, and antegr...
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Veröffentlicht in: | Annals of vascular surgery 2001-11, Vol.15 (6), p.699-702 |
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creator | Sala, Florent Jean Bouillane, Pierre Paul Francisci, Marc Diaz, Fernando Lena, Pierre Kreitmann, Patrice Batt, Michel |
description | This report describes a novel technique used for management of retroesophageal subclavian artery aneurysm arising from Kommerell's diverticulum. The procedure consists of endoaortic exclusion of the aneurysmal neck, using a prosthetic patch after sternotomy during circulatory arrest, and antegrade cold blood cerebroplegia. The advantages of this technique are avoidance of hemorrhagic complications during clamping of the aneurysmal neck, limiting of the extent of dissection of the aortic arch, and elimination of the risk of inadvertent left recurrent nerve paralysis. Antegrade cold blood cerebroplegia provides good cerebral protection and decreases the duration and consequences of extracorporeal circulation. |
doi_str_mv | 10.1007/s10016-001-0010-2 |
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The procedure consists of endoaortic exclusion of the aneurysmal neck, using a prosthetic patch after sternotomy during circulatory arrest, and antegrade cold blood cerebroplegia. The advantages of this technique are avoidance of hemorrhagic complications during clamping of the aneurysmal neck, limiting of the extent of dissection of the aortic arch, and elimination of the risk of inadvertent left recurrent nerve paralysis. 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The procedure consists of endoaortic exclusion of the aneurysmal neck, using a prosthetic patch after sternotomy during circulatory arrest, and antegrade cold blood cerebroplegia. The advantages of this technique are avoidance of hemorrhagic complications during clamping of the aneurysmal neck, limiting of the extent of dissection of the aortic arch, and elimination of the risk of inadvertent left recurrent nerve paralysis. Antegrade cold blood cerebroplegia provides good cerebral protection and decreases the duration and consequences of extracorporeal circulation.</description><subject>Aged</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Aortic Aneurysm - diagnosis</subject><subject>Aortic Aneurysm - etiology</subject><subject>Diverticulum, Esophageal - complications</subject><subject>Diverticulum, Esophageal - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Subclavian Artery - abnormalities</subject><subject>Tomography, X-Ray Computed</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFtLxDAQhYMo7nr5Ab5I8UGfqpmmaVp8WryjoHh5Dkl2ukbaZk3ahf33ZtkFwQcZ5gwD3xyGQ8gR0HOgVFyEqFCkUVZN02yLjKEAnvIqF9tkTMuKppxWxYjshfAVmazMy10yAhBFBZyPycsr9t5hcPNPNUPVJG-DNo1aWNUlE9-jXyaTDge_DG3cbbDdLKm9a5NH17bosWnOQnJtF-h7a4ZmaA_ITq2agIebuU8-bm_er-7Tp-e7h6vJU2qYKPqUCT2lPM-oUoIr1EgZ1bXCstKMVrUGXeo6F7TipUAOzEBmODNKZRoY1MD2yenad-7d94Chl60NJv6jOnRDkCJjIhaP4Mkf8MsNvou_yQxyXvKCriBYQ8a7EDzWcu5tq_xSApWrrOU6axll1VRm8eZ4YzzoFqe_F5twI3C5BjDmsLDoZTAWO4NT69H0cursP_Y_KmCNAQ</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Sala, Florent</creator><creator>Jean Bouillane, Pierre</creator><creator>Paul Francisci, Marc</creator><creator>Diaz, Fernando</creator><creator>Lena, Pierre</creator><creator>Kreitmann, Patrice</creator><creator>Batt, Michel</creator><general>Elsevier Inc</general><general>Elsevier Limited</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>K9.</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Retroesophageal Subclavian Artery Aneurysm Arising from Kommerell's Diverticulum</title><author>Sala, Florent ; Jean Bouillane, Pierre ; Paul Francisci, Marc ; Diaz, Fernando ; Lena, Pierre ; Kreitmann, Patrice ; Batt, Michel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-37bd05420aa75aebe030bfae89b309fb1b8bf4709587e513c12c53caa2b131f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - etiology</topic><topic>Aortic Aneurysm - diagnosis</topic><topic>Aortic Aneurysm - etiology</topic><topic>Diverticulum, Esophageal - complications</topic><topic>Diverticulum, Esophageal - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Subclavian Artery - abnormalities</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sala, Florent</creatorcontrib><creatorcontrib>Jean Bouillane, Pierre</creatorcontrib><creatorcontrib>Paul Francisci, Marc</creatorcontrib><creatorcontrib>Diaz, Fernando</creatorcontrib><creatorcontrib>Lena, Pierre</creatorcontrib><creatorcontrib>Kreitmann, Patrice</creatorcontrib><creatorcontrib>Batt, Michel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sala, Florent</au><au>Jean Bouillane, Pierre</au><au>Paul Francisci, Marc</au><au>Diaz, Fernando</au><au>Lena, Pierre</au><au>Kreitmann, Patrice</au><au>Batt, Michel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retroesophageal Subclavian Artery Aneurysm Arising from Kommerell's Diverticulum</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>15</volume><issue>6</issue><spage>699</spage><epage>702</epage><pages>699-702</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><coden>AVSUEV</coden><abstract>This report describes a novel technique used for management of retroesophageal subclavian artery aneurysm arising from Kommerell's diverticulum. 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subjects | Aged Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - etiology Aortic Aneurysm - diagnosis Aortic Aneurysm - etiology Diverticulum, Esophageal - complications Diverticulum, Esophageal - diagnosis Humans Male Subclavian Artery - abnormalities Tomography, X-Ray Computed |
title | Retroesophageal Subclavian Artery Aneurysm Arising from Kommerell's Diverticulum |
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