| Hybrid treatment of aberrant right subclavian artery and its aneurysms. | |
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MedLine Citation:
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PMID: 20690521 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe two cases of aberrant right subclavian artery (ARSA) aneurysm treated with hybrid repair. CASE REPORTS: 77 year old woman with a symptomatic ARSA aneurysm was treated with endoluminal aortic stent graft exclusion and placement of a plug distal to the aneurysm. Ischemia of the right arm required immediate carotid-subclavian bypass. Postoperatively, mild signs of brain stem infarction were present with absent flow in the right vertebral artery. Because of preserved left vertebral and basilary artery flow no invasive therapy was undertaken. The patient recovered completely. A 51 year old woman with a symptomatic 37 mm diameter ARSA aneurysm underwent bilateral carotid-subclavian bypasses and subsequent endoluminal aortic stent graft exclusion of the ARSA's origin. Recovery was uneventful. CONCLUSION: Hybrid techniques are less invasive valuable alternatives in the treatment of ARSA and its aneurysms. Great care should be taken to preserve the posterior cerebral and upper extremity circulation. |
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Authors:
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L Daniels; H M E Coveliers; A W J Hoksbergen; J H H Nederhoed; W Wisselink |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 110 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-08-09 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 346-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm / radiography, surgery* Blood Vessel Prosthesis Implantation / methods* Brain Stem Infarctions / etiology Carotid Arteries / surgery Female Humans Ischemia / etiology, surgery Middle Aged Stents Subclavian Artery / abnormalities*, radiography, surgery* Upper Extremity / blood supply |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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