Right arm ischemia following intentional stent-graft coverage of an anomalous right subclavian artery.
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.
Waltham
Matthew
M
Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Agrawal
Ves
V
Bowman
Leigh
L
Hughes
Clifford
C
White
Geoffrey H
GH
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