Aortic dissection originating from an aberrant right subclavian artery

A 47-year-old male patient presented with aortic dissection originating from an aberrant right subclavian artery. Intraoperative arteriography showed an anomaly of the aortic arch including a common carotid trunk and an aberrant right subclavian artery. An intimal tear was located in the aberrant ri...

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Bibliographic Details
Published in:Journal of vascular surgery 2007-12, Vol.46 (6), p.1270-1273
Main Authors: Li, Qing-Le, MD, Zhang, Xiao-Ming, MD, Zhang, Xue-Min, MD
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - etiology
Aneurysm, Dissecting - surgery
Aorta, Thoracic - abnormalities
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - etiology
Aortic Aneurysm - surgery
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Carotid Artery, Common - abnormalities
Diseases of the aorta
Humans
Injuries of the thorax. Foreign bodies. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Prosthesis Design
Rupture
Subclavian Artery - abnormalities
Subclavian Artery - diagnostic imaging
Subclavian Artery - surgery
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
Treatment Outcome
Vascular Malformations - complications
Vascular Malformations - diagnostic imaging
Vascular Malformations - surgery
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Description
Summary:A 47-year-old male patient presented with aortic dissection originating from an aberrant right subclavian artery. Intraoperative arteriography showed an anomaly of the aortic arch including a common carotid trunk and an aberrant right subclavian artery. An intimal tear was located in the aberrant right subclavian artery. Dissection retrogradely involved the aortic arch and then anterogradely involved the distal aorta. We treated the patient endovascularly with a Wallgraft endoprosthesis deployed in the aberrant right subclavian artery to seal the entry site. Follow-up computed tomography showed a satisfactory healing process with complete thrombosis in the proximal part of the false lumen.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2007.06.042