Aberrant right subclavian artery in blunt aortic injury: implication for treatment and review of the literature.
Blunt aortic injury (BAI) involving an aberrant right subclavian artery (ARSA) is uncommon. The presence of an ARSA entails several treatment issues, in particular regarding the risk of perioperative posterior cerebral stroke. We report the case of a man with an ARSA who suffered from BAI. An initial conservative treatment with delayed open repair was chosen. A review of the published literature with discussion of the case is presented. The presence of an ARSA in patients with BAI can be considered a poor anatomy for endovascular repair, and suitable patients may benefit from delayed open repair.
Vascular Surgery-Scientific Institute H. San Raffaele, Vita-Salute University School of Medicine, Milano, Italy. giovanni.coppi@gmail.com
Giovanni
G
Coppi
Yamume
Y
Tshomba
Daniele
D
Psacharopulo
Enrico Maria
EM
Marone
Roberto
R
Chiesa
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery; D001011:Aorta / Q000293:injuries / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008026:Ligation; D008297:Male; D009049:Motorcycles; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications / Q000601:surgery*; D057772:Vascular System Injuries / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery*; D055815:Young Adult