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http://dx.doi.org/10.4070/kcj.2013.43.1.66

Hybrid Treatment for Thoracic Aortic Aneurysm Combined with Aberrant Right Subclavian Artery  

Lee, Joong-Hee (Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System)
Ko, Young-Guk (Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System)
Yoon, Young-Nam (Division of Cardiovascular Surgery, Yonsei Cardiovascular Hospital, Yonsei University College of Medicine)
Choi, Donghoon (Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System)
Lee, Do-Yun (Department of Radiology, Yonsei University College of Medicine)
Publication Information
Korean Circulation Journal / v.43, no.1, 2013 , pp. 66-69 More about this Journal
Abstract
An aberrant right subclavian artery (ARSA) is the most common vascular abnormality of the aortic arch and is associated with development of aneurysms in 3-8% of these anomalies. In this case report, we describe an 84-year-old man with a symptomatic ARSA treated with staged hybrid procedure combining surgical replacement of the ascending aorta and bilateral carotid-to-subclavian artery bypass with implantation of a stent graft in the aortic arch and descending aorta. Our case suggests that a less invasive hybrid therapy can be performed successfully for the treatment of ARSA with aneurysmal change in patients at high surgical risk.
Keywords
Aberrant right subclavian artery; Aortic aneurysm, thoracic; Endovascular procedures;
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