title: Right arm ischemia following intentional stent-graft coverage of an anomalous right subclavian artery.
abstract: OBJECTIVE
  To report thoracic aortic stent-graft repair in a patient with abnormal aortic arch anatomy.
  
  
  METHODS
  An anomalous right subclavian artery was covered with a stent-graft in a 38-year-old woman being treated for a false aneurysm after coarctation repair. The right arm became relatively ischemic, but was viable and managed conservatively.
  
  
  CONCLUSIONS
  Aneurysms close to left or aberrant right subclavian arteries can be safely and effectively treated by endoluminal repair without the need for revascularization procedures; ischemic symptoms that develop are often mild and transient.
authors.affiliation: Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Waltham
authors.forename: Ves
authors.initials: V
authors.lastname: Agrawal
authors.forename: Leigh
authors.initials: L
authors.lastname: Bowman
authors.forename: Clifford
authors.initials: C
authors.lastname: Hughes
authors.forename: Geoffrey H
authors.initials: GH
authors.lastname: White
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001132:Arm / Q000098:blood supply*; D021721:Balloon Occlusion / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D018570:Risk Assessment; D015607:Stents / Q000009:adverse effects*; D013348:Subclavian Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome