Hybrid management of proximal right subclavian artery aneurysms

Surgical repair of proximal right subclavian artery aneurysms can be difficult. They typically require a combined mediastinal exposure to control the innominate and right common carotid arteries and a supra- or infraclavicular exposure for distal control, with either a segmental resection and bypass...

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Bibliographic Details
Published in:Journal of vascular surgery 2011-02, Vol.53 (2), p.528-530
Main Authors: Bruen, Kevin J., MD, Feezor, Robert J., MD, Lee, W. Anthony, MD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Aneurysm - diagnostic imaging
Aneurysm - surgery
Biological and medical sciences
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Endovascular Procedures - instrumentation
Female
Humans
Injuries of the thorax. Foreign bodies. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Prosthesis Design
Stents
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 surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:Surgical repair of proximal right subclavian artery aneurysms can be difficult. They typically require a combined mediastinal exposure to control the innominate and right common carotid arteries and a supra- or infraclavicular exposure for distal control, with either a segmental resection and bypass or a bifurcated reconstruction. In this report, we present four cases utilizing a single-stage, hybrid technique combining an endovascular stent graft and an extra-anatomical bypass to repair proximal right subclavian artery aneurysms without the need for mediastinal exposure or extensive surgical reconstruction. There were no deaths and two minor neurologic events.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2010.07.050