title: Treatment of symptomatic aberrant subclavian arteries.
abstract: OBJECTIVE
  The aim of this study is to present experience with 10 patients with symptomatic aberrant subclavian artery (ASA) and aneurysm of ASA who underwent surgical treatment.
  
  
  METHODS
  From 2008 to 2011 10 patients with symptomatic aberrant subclavian artery (mean age 60 years [range 24-90 years]) were studied. Symptoms were dysphagia (n = 7), dyspnea (n = 4), acute chest pain (n = 1), respiratory distress syndrome (n = 1), superior cava syndrome, and shock (n = 1). Six patients had aneurysm formation of the ASA (mean diameter of 7.1 cm [range 3.0-12.4 cm]; rupture [n = 1], dissection [n = 1]). All data were analyzed retrospectively.
  
  
  RESULTS
  Treatment was performed as a hybrid procedure in eight patients. This included thoracic endoluminal graft exclusion with revascularization of the ASA, a pure endovascular procedure with two occluders in one patient, and an open procedure in one patient with ligation of the aberrant artery through a thoracotomy. Three patients died during the early postoperative period owing to pulmonary complications. All three suffered from a symptomatic aneurysm, and two were treated as an emergency procedure. Median follow-up was 20 months (range 12-49 months).
  
  
  CONCLUSIONS
  A symptomatic ASA and its associated aneurysmal formation should be excluded after diagnosis. In most cases, a hybrid procedure consisting of thoracic endografting and revascularization of the ASA is feasible.
authors.affiliation: European Vascular Centre Aachen-Maastricht, University Hospital of the RWTH Aachen, Aachen, Germany. Electronic address: hjalaie@ukaachen.de.
authors.forename: H
authors.initials: H
authors.lastname: Jalaie
authors.affiliation: European Vascular Centre Aachen-Maastricht, University Hospital of the RWTH Aachen, Aachen, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Grommes
authors.affiliation: Department of Diagnostic and Interventional Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Sailer
authors.affiliation: European Vascular Centre Aachen-Maastricht, University Hospital of the RWTH Aachen, Aachen, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Greiner
authors.affiliation: European Vascular Centre Aachen-Maastricht, University Hospital of the RWTH Aachen, Aachen, Germany; Department of General, Visceral and Transplantation Surgery, University Hospital of the RWTH Aachen, Aachen, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Binnebösel
authors.affiliation: European Vascular Centre Aachen-Maastricht, University Hospital of the RWTH Aachen, Aachen, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Kalder
authors.affiliation: European Vascular Centre Aachen-Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors.forename: G W
authors.initials: GW
authors.lastname: Schurink
authors.affiliation: European Vascular Centre Aachen-Maastricht, University Hospital of the RWTH Aachen, Aachen, Germany; European Vascular Centre Aachen-Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands. Electronic address: mjacobs@ukaachen.de.
authors.forename: M J
authors.initials: MJ
authors.lastname: Jacobs
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery; D018376:Cardiovascular Abnormalities / Q000150:complications / Q000601:surgery*; D003680:Deglutition Disorders / Q000150:complications / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult
keywords: Aberrant subclavian artery; Dysphagia lusoria; Hybrid procedure