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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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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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description	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.
doi_str_mv	10.1016/j.jvs.2010.07.050
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source	BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS
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
title	Hybrid management of proximal right subclavian artery aneurysms
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