Repair of aberrant right subclavian artery entirely via a supraclavicular approach.
An aberrant right subclavian artery is a known arch variant with surgical intervention reserved for those patients presenting symptomatically, those with aneurysmal degeneration particularly of a Kommerell diverticulum, or those with adjacent aortic pathology. Varied surgical approaches have been described, often involving a supraclavicular approach in conjunction with a thoracotomy, or more recently, hybrid endovascular techniques. In the absence of aneurysmal degeneration or associated aortic pathology, surgical repair can be performed safely through a single supraclavicular incision. We present a case of a patient repaired in this fashion.
Department of Surgery, University of California Davis Medical Center, Sacramento, California. Electronic address: aaron.baker@ucdmc.ucdavis.edu.
Aaron C
AC
Baker
Department of Surgery, University of California Davis Medical Center, Sacramento, California; Heart, Lung and Vascular Center, David Grant Medical Center, Travis Air Force Base, Fairfield, California.
B Zane
BZ
Atkins
Department of Surgery, University of California Davis Medical Center, Sacramento, California; Heart, Lung and Vascular Center, David Grant Medical Center, Travis Air Force Base, Fairfield, California.
W Darrin
WD
Clouse
Heart, Lung and Vascular Center, David Grant Medical Center, Travis Air Force Base, Fairfield, California.
Robert
R
Noll
Heart, Lung and Vascular Center, David Grant Medical Center, Travis Air Force Base, Fairfield, California.
James
J
Sampson
Department of Surgery, University of California Davis Medical Center, Sacramento, California; Heart, Lung and Vascular Center, David Grant Medical Center, Travis Air Force Base, Fairfield, California.
Timothy
T
Williams
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001466:Barium Sulfate; D018376:Cardiovascular Abnormalities / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery; D003287:Contrast Media; D003680:Deglutition Disorders / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
D003287:Contrast Media; D001466:Barium Sulfate