Endovascular treatment of an aneurysmal aberrant right subclavian artery.
OBJECTIVE
To describe combined endovascular and surgical management of a complex aneurysmal aberrant right subclavian artery (RSA).


METHODS
A 75-year-old obese man with severe chronic obstructive pulmonary disease was referred for treatment of a 6.8-cm aneurysm of an aberrant right subclavian artery. A stent-graft was deployed in the proximal part of the descending aorta to cover the origin of the dilated aberrant RSA, and then a venous carotid-subclavian bypass was made to restore blood flow in the right arm. In a second stage, the prevertebral segment of the aberrant RSA was embolized to avoid retrograde perfusion of the aneurysm.


CONCLUSIONS
Combined endovascular and surgical treatment of an aneurysmal aberrant subclavian artery is feasible, safe, and effective. This less invasive approach could be the treatment of choice in high-risk patients.
Lacroix
Valerie
V
Cliniques Universitaires St. Luc, Brussels, Belgium.
Astarci
Parla
P
Philippe
Devaux
D
Goffette
Pierre
P
Hammer
Frank
F
Verhelst
Robert
R
Noirhomme
Philippe
P
D000368:Aged; D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery*