Aberrant right subclavian artery aneurysm: an analysis of surgical options.
During evaluation of a man for claudication, abnormal chest roentgenographic results were found. Computed tomography documented a 6.5-cm aneurysm of an aberrant retroesophageal right subclavian artery. Interruption of the right subclavian artery with an end-to-side subclavian-carotid anastomosis was performed via a right supraclavicular incision, followed immediately by left transthoracic interruption of the origin of the right subclavian artery using a heparin-bonded shunt. This approach avoids previously reported embolic complications while preserving brachial blood flow and providing safe access to the aorta.
Harrison
L H
LH
West Jefferson Medical Center, Marrero, Louisiana.
Batson
R C
RC
Hunter
D R
DR
D000368:Aged; D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001807:Blood Vessel Prosthesis; D002339:Carotid Arteries / Q000601:surgery*; D000013:Congenital Abnormalities / Q000453:epidemiology; D006801:Humans; D007383:Intermittent Claudication / Q000150:complications; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed