Purpose: To report thoracic aortic stent-graft repair in a patient with abnormal aortic arch anatomy.
Case Report: An anomalous right subclavian artery was covered with a stent-graft in a 38-year-old woman being treated for a false aneurysm after coarctation repair. The right arm became relatively ischemic, but was viable and managed conservatively.
Conclusions: Aneurysms close to left or aberrant right subclavian arteries can be safely and effectively treated by endoluminal repair without the need for revascularization procedures; ischemic symptoms that develop are often mild and transient.
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http://dx.doi.org/10.1583/04-1374R.1 | DOI Listing |
Ann Thorac Surg Short Rep
December 2024
Division of Cardiac Surgery, Department of Surgery, Northwestern University Feinberg School Medicine, Chicago, Illinois.
Background: An anomalous left vertebral artery (aLVA) can complicate aortic arch surgery. We examined the safety of various aLVA revascularization strategies during open total arch replacement.
Methods: We retrospectively evaluated 92 patients undergoing total arch replacement from January 2018 to May 2023 and identified 11 patients with aLVA.
Radiol Case Rep
February 2025
Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia.
Dysphagia lusoria is a rare condition characterized by swallowing difficulties due to vascular compression of the esophagus. While most commonly caused by an aberrant right subclavian artery (ARSA), other vascular anomalies can also lead to this condition. We present a unique case of dysphagia lusoria in a 20-year-old Ethiopian male, caused by a vertebral artery originating anomalously from the aortic arch.
View Article and Find Full Text PDFVascular
November 2024
Mid & South Essex Hospital Services NHS Foundation Trust, Cardiovascular Department, Basildon and Thurrock University Hospital, Basildon, UK.
Objective: To elucidate the short- and long-term mortality, morbidity, and endoleak incidences in the hybrid management of aberrant subclavian artery (ASA).
Methods: A systematic review and meta-analysis of 99 articles comprising = 272 cases using PRISMA were supplemented by Cohen's Kappa for assessor consistency. The analysis involved a random-effect model, odds ratios (ORs) with 95% confidence intervals, tests of heterogeneity, and probability.
World J Pediatr Congenit Heart Surg
January 2025
Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
Anomalous origin of the right subclavian artery (AORSA) from the right pulmonary artery is a rare congenital anomaly usually diagnosed by computed tomography, magnetic resonance imaging, or angiography. We present a very rare case of diagnosis and surgical correction of AORSA coexisting with d-transposition of the great arteries in a newborn's first hours of life. Due to the critical local hospital and patient conditions, additional cross-sectional imaging was not feasible.
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