title: Endovascular repair of a right-sided descending thoracic aortic aneurysm with a right-sided aortic arch and aberrant left subclavian artery.
abstract: Aneurysms involving a right-sided aortic arch and a right-sided descending thoracic aorta with an aberrant origin of the left subclavian artery are rare. We describe the successful surgical repair of this vascular anomaly by the combined use of a left carotid to subclavian artery bypass followed by endovascular stent-graft placement to exclude the aortic aneurysm. We also review the literature associated with this particular anatomic presentation.
authors.affiliation: The Texas Heart Institute at St. Luke's Episcopal Hospital, and Division of Vascular and Endovascular Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Naoum
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Parenti
authors.forename: Scott A
authors.initials: SA
authors.lastname: LeMaire
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Coselli
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods