[Aberrant subclavian artery in infants. Division and reimplantation into the common carotid artery through cervicotomy (author's transl)].
In infants, merely dividing an aberrant subclavian artery (ROSCA) through left-thoracotomy may result in severe cerebral circulatory disorders by vertebrobasilar arterial steal. The authors report on 3 cases where reimplantation of the ROSCA into the common carotid artery reproduced a normal brachiocephalic arterial trunk and resulted in normal revascularization. In 2 of these 3 cases, the ROSCA was approached through a right cervical incision, divided in the mediastinum, behind the oesophagus, and reimplanted by latero-lateral anastomosis into the right carotid artery. In the third case the same approach was preceded by left thoracotomy for easier division of the ROSCA close to the aorta. The three operations were uneventful and no complication occurred, except for transient and mild left hemiparesis without sequelae in one patient.
D001013:Aorta, Thoracic / Q000601:surgery; D002339:Carotid Arteries / Q000601:surgery*; D004947:Esophagus; D006801:Humans; D007223:Infant; D009333:Neck; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000517:prevention & control
Artère sous-clavière rétro-oesophagienne du nourrisson. Section et réimplantation dans in carotide primitive par cervicotomie.