title: Staged Hybrid Repair of an Intrathoracic Subclavian Artery Aneurysm Associated with a Long Segment Dissection.
abstract: Intrathoracic subclavian artery aneurysms (ISAAs) are infrequently seen in clinical practice. We report the repair of a left ISAA associated with a long segment dissection from the ostia extending to the axillary artery. A hybrid approach was used. Carotid-to-axillary bypass using a reversed greater saphenous vein was first performed, followed by coverage of the origin of the subclavian artery using a thoracic stent graft. Finally, percutaneous access of the radial artery with coil embolization was performed to successfully thrombose the ISAA.
authors.affiliation: Department of Vascular Surgery, CaroMont Regional Medical Center, Gastonia, NC. Electronic address: paul.kochupura@caromonthealth.org.
authors.forename: Paul V
authors.initials: PV
authors.lastname: Kochupura
authors.affiliation: Department of Vascular Surgery, CaroMont Regional Medical Center, Gastonia, NC.
authors.forename: James P
authors.initials: JP
authors.lastname: Greelish
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery; D058017:Vascular Grafting