title: Thoracic Endovascular Repair of Blunt Thoracic Aortic Injury in the Setting of an Aberrant Right Subclavian Artery.
abstract: Blunt thoracic aortic injury (BTAI) in a patient with an aberrant right subclavian artery (ARSA) presents unique challenges for patient management and aortic repair. Specific considerations include the need to treat coincidental ARSA, subclavian revascularization, and ARSA exclusion. Despite the rise of endovascular repair as the primary modality for aortic repair for BTAI, reports of this technique in the setting of ARSA are limited. Here we describe 3 patients with ARSA who underwent TEVAR for BTAI, and discuss critical management and technical issues in these patients.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Donald G
authors.initials: DG
authors.lastname: Harris
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Huffner
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Luqman
authors.initials: L
authors.lastname: Croal-Abrahams
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Laura
authors.initials: L
authors.lastname: DiChiacchio
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Behzad S
authors.initials: BS
authors.lastname: Farivar
authors.affiliation: Department of Surgery, Naval Medical Center San Diego, San Diego, CA.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Ayers
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; Center for Aortic Disease, University of Maryland Medical Center, Baltimore, MD.
authors.forename: Shahab
authors.initials: S
authors.lastname: Toursavadkohi
authors.affiliation: R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Joseph
authors.initials: J
authors.lastname: Rabin
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; Center for Aortic Disease, University of Maryland Medical Center, Baltimore, MD. Electronic address: robertcrawfordmd@gmail.com.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Crawford
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000000981:diagnostic imaging; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*