Less-Invasive Endovascular Treatment of Arch Aneurysm With Aberrant Right Subclavian Artery.
We report a patient with an arch aneurysm with an aberrant right subclavian artery who underwent successful endovascular treatment with the chimney technique and bilateral carotid artery-to-subclavian artery bypasses. We used a chimney graft in the left carotid artery to preserve its flow. The bilateral carotid-to-subclavian artery bypasses preserved perfusion of the bilateral vertebral arteries. A thoracic stent graft was subsequently deployed in the aortic arch over the chimney graft of the left carotid artery. There have been few reports about less-invasive treatment for arch aneurysm with aberrant right subclavian artery. This technique was an effective strategy to avoid a high-risk open operation.
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan. Electronic address: ysk@msic.med.osaka-cu.ac.jp.
Yosuke
Y
Takahashi
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Yasuyuki
Y
Sasaki
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Yasuyuki
Y
Kato
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Manabu
M
Motoki
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Yasuyuki
Y
Bito
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Akimasa
A
Morisaki
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Makoto
M
Miyabe
Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan.
Gouki
G
Inno
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D001013:Aorta, Thoracic; 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*; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery