title: Treatment of aneurysmal aberrant right subclavian artery with triple-barrel stent graft.
abstract: Aneurysmal evolution of an aberrant right subclavian artery (ARSA) is an operative indication. Endovascular treatment is a minimally invasive procedure, which offers good short-term and midterm results. We describe a case of a 9-cm diameter ARSA aneurysm in a symptomatic man, treated with the triple-barrel technique using a thoracic aortic stent graft combined with surgical and endovascular revascularization of the supra-aortic trunks. Postoperatively, the patient developed a type III endoleak which was covered. The triple-barrel technique has been a proposed treatment approach for complex aortic arch pathologies and remains a less invasive option when compared with open surgery.
authors.affiliation: Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors.forename: Adeline
authors.initials: A
authors.lastname: Schwein
authors.affiliation: Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France. Electronic address: yannick.georg@chru-strasbourg.fr.
authors.forename: Yannick
authors.initials: Y
authors.lastname: Georg
authors.affiliation: Department of Diagnostic Radiology, Nouvel Hôpital Civil, Strasbourg, France.
authors.forename: Mickaël
authors.initials: M
authors.lastname: Ohana
authors.affiliation: Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors.forename: Charline
authors.initials: C
authors.lastname: Delay
authors.affiliation: Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Lejay
authors.affiliation: Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors.forename: Fabien
authors.initials: F
authors.lastname: Thaveau
authors.affiliation: Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors.forename: Nabil
authors.initials: N
authors.lastname: Chakfe
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D018376:Cardiovascular Abnormalities / Q000175:diagnosis / Q000601:surgery*; D003680:Deglutition Disorders / Q000175:diagnosis / Q000601:surgery*; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012086:Reoperation; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome