Hybrid management of a ruptured right subclavian artery aneurysm dissection

Abstract Aberrant right subclavian artery is the most common congenital malformation of the aortic arch (0.4%-2.0%). Aneurysms of aberrant subclavian arteries are extremely rare. This results in little experience with their treatment. We describe a case of a patient who presented to the emergency de...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2017-12, Vol.3 (4), p.198-200
Main Authors: Drullinsky, David, MD, Gill, Heather, MD, MPH, Bayne, Jason P., MD, Morin, Jean-Francois, MD, Obrand, Daniel, MD
Format: Article
Language:English
Subjects:
Subclavian and internal mammary artery aneurysm
Surgery
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Summary:Abstract Aberrant right subclavian artery is the most common congenital malformation of the aortic arch (0.4%-2.0%). Aneurysms of aberrant subclavian arteries are extremely rare. This results in little experience with their treatment. We describe a case of a patient who presented to the emergency department with a dissection of an aberrant right subclavian artery that later progressed to rupture. Besides hemodynamic instability, this caused an acute superior vena cava syndrome, making airway control difficult. In the operating room, we obtained proximal control through thoracic endovascular aortic repair; median sternotomy was performed for distal control and evacuation of massive hemomediastinum.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2017.03.003