Percutaneous angioplasty and stenting of subclavian arteries before surgical coronary revascularization in a patient with an aberrant right subclavian artery.
An aberrant right subclavian artery occurs in less than 2% of the population. An associated stenosis of the subclavian artery carries a risk of subclavian-coronary steal in patients who undergo coronary revascularization. We report on the case of a 54-year-old man admitted to our hospital for a coronary artery bypass graft (CABG). Angiographic examination revealed bilateral subclavian-artery stenosis with an aberrant right subclavian artery, anomalous origin of the right vertebral artery from the right common carotid artery, and left vertebral-artery occlusion. The patient underwent successful bilateral subclavian angioplasty and stenting.
Taha
M M
MM
Department of Neurosurgery, Kokura Memorial Hospital, 1-1Kifunemachi, Kokurakita-ku, 802-8555 Kitakyusyu-shi Fukuoka, Japan, and Department of Neurosurgery, Zagazig University Hospital, Egypt. mahmoudlotfy1972@yahoo.co.uk
Nakahara
I
I
Higashi
T
T
Iwamuro
Y
Y
Watanabe
Y
Y
Taki
W
W
D017130:Angioplasty; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy*