title: Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with Marfan syndrome.
abstract: We report the case of a 26-year-old female patient with Marfan syndrome and an aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum. The patient presented with spontaneous acute dissection of the ARSA that showed fusiform dilation to 4 cm in diameter. Definitive treatment was performed using a two-stage hybrid endovascular technique, including extrathoracic bilateral upper extremity bypass and thoracic endovascular aortic repair with debranching of the right and left subclavian arteries. This was followed by coil and plug embolization to exclude the dissection and prevent subsequent endoleak.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390-8879, USA.
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Stanley
authors.forename: Frank R
authors.initials: FR
authors.lastname: Arko
authors.forename: Mazin I
authors.initials: MI
authors.lastname: Foteh
authors.forename: Michael E
authors.initials: ME
authors.lastname: Jessen
authors.forename: J Michael
authors.initials: JM
authors.lastname: DiMaio
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D018376:Cardiovascular Abnormalities / Q000209:etiology / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery