Less-Invasive Endovascular Treatment of Arch Aneurysm With Aberrant Right Subclavian Artery.

Abstract

We report a patient with an arch aneurysm with an aberrant right subclavian artery who underwent successful endovascular treatment with the chimney technique and bilateral carotid artery-to-subclavian artery bypasses. We used a chimney graft in the left carotid artery to preserve its flow. The bilateral carotid-to-subclavian artery bypasses preserved perfusion of the bilateral vertebral arteries. A thoracic stent graft was subsequently deployed in the aortic arch over the chimney graft of the left carotid artery. There have been few reports about less-invasive treatment for arch aneurysm with aberrant right subclavian artery. This technique was an effective strategy to avoid a high-risk open operation.

• Authors: Yosuke Takahashi, Yasuyuki Sasaki, Yasuyuki Kato, Manabu Motoki, Yasuyuki Bito, Akimasa Morisaki, Makoto Miyabe, Gouki Inno
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 100 Issue 3 Pg. 1089-91 (Sep 2015) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 26354637 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Aged
• Aneurysm (complications, surgery)
• Aorta, Thoracic
• Aortic Aneurysm, Thoracic (complications, surgery)
• Cardiovascular Abnormalities (complications, surgery)
• Deglutition Disorders (complications, surgery)
• Endovascular Procedures (methods)
• Humans
• Male
• Subclavian Artery (abnormalities, surgery)