Abstract | OBJECTIVE: The aim of this study is to present experience with 10 patients with symptomatic aberrant subclavian artery (ASA) and aneurysm of ASA who underwent surgical treatment. METHODS: From 2008 to 2011 10 patients with symptomatic aberrant subclavian artery (mean age 60 years [range 24-90 years]) were studied. Symptoms were dysphagia (n = 7), dyspnea (n = 4), acute chest pain (n = 1), respiratory distress syndrome (n = 1), superior cava syndrome, and shock (n = 1). Six patients had aneurysm formation of the ASA (mean diameter of 7.1 cm [range 3.0-12.4 cm]; rupture [n = 1], dissection [n = 1]). All data were analyzed retrospectively. RESULTS: Treatment was performed as a hybrid procedure in eight patients. This included thoracic endoluminal graft exclusion with revascularization of the ASA, a pure endovascular procedure with two occluders in one patient, and an open procedure in one patient with ligation of the aberrant artery through a thoracotomy. Three patients died during the early postoperative period owing to pulmonary complications. All three suffered from a symptomatic aneurysm, and two were treated as an emergency procedure. Median follow-up was 20 months (range 12-49 months). CONCLUSION: A symptomatic ASA and its associated aneurysmal formation should be excluded after diagnosis. In most cases, a hybrid procedure consisting of thoracic endografting and revascularization of the ASA is feasible.
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Authors | H Jalaie, J Grommes, A Sailer, A Greiner, M Binnebösel, J Kalder, G W Schurink, M J Jacobs |
Journal | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
(Eur J Vasc Endovasc Surg)
Vol. 48
Issue 5
Pg. 521-6
(Nov 2014)
ISSN: 1532-2165 [Electronic] England |
PMID | 25150442
(Publication Type: Journal Article)
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Copyright | Copyright © 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Aneurysm
(complications, surgery)
- Aortic Dissection
(complications, surgery)
- Aortic Aneurysm, Thoracic
(complications, surgery)
- Cardiovascular Abnormalities
(complications, surgery)
- Deglutition Disorders
(complications, surgery)
- Endovascular Procedures
(methods)
- Female
- Humans
- Male
- Middle Aged
- Postoperative Complications
(prevention & control)
- Stents
- Subclavian Artery
(abnormalities, surgery)
- Treatment Outcome
- Young Adult
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