title: A Case of Tandem Plug Embolization for an Aberrant Right Subclavian Artery during Debranching Thoracic Endovascular Aortic Repair.
abstract: Aberrant right subclavian artery embolization is problematic in debranching thoracic endovascular aortic repair, because concomitant bypass grafting to the right upper arm may hinder complete embolization. We report a case of a thoracic aortic aneurysm with aberrant right subclavian artery successfully treated with debranching thoracic endovascular aortic repair and bypass grafting. Although endoleakage was found from aberrant right subclavian artery after single use of Amplatzer vascular plug, additional deployment of Amplatzer vascular plug II completely eliminated residual endoleakage. This simple technique is useful for the aberrant right subclavian artery embolization in debranching thoracic endovascular aortic repair.
authors.affiliation: Department of Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Fukuoka, Japan.
authors.forename: Tatsushi
authors.initials: T
authors.lastname: Onzuka
authors.affiliation: Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Fukuoka, Japan.
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Oishi
authors.affiliation: Department of Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Fukuoka, Japan.
authors.forename: Hikaru
authors.initials: H
authors.lastname: Uchiyama
authors.affiliation: Department of Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Fukuoka, Japan.
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Ochiai
authors.affiliation: Department of Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Fukuoka, Japan.
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Nakashima
authors.affiliation: Departments of Radiology, JCHO Kyushu Hospital, Kitakyushu, Fukuoka, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Shinozaki
keywords: TEVAR; aberrant subclavian artery; amplatzer vascular plug