AI Article Synopsis
Article Abstract
Purpose: To describe two cases of aberrant right subclavian artery (ARSA) aneurysm treated with hybrid repair.
Case Reports: 77 year old woman with a symptomatic ARSA aneurysm was treated with endoluminal aortic stent graft exclusion and placement of a plug distal to the aneurysm. Ischemia of the right arm required immediate carotid-subclavian bypass. Postoperatively, mild signs of brain stem infarction were present with absent flow in the right vertebral artery. Because of preserved left vertebral and basilary artery flow no invasive therapy was undertaken. The patient recovered completely. A 51 year old woman with a symptomatic 37 mm diameter ARSA aneurysm underwent bilateral carotid-subclavian bypasses and subsequent endoluminal aortic stent graft exclusion of the ARSA's origin. Recovery was uneventful.
Conclusion: Hybrid techniques are less invasive valuable alternatives in the treatment of ARSA and its aneurysms. Great care should be taken to preserve the posterior cerebral and upper extremity circulation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/00015458.2010.11680631 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cervical-First Approach in Thoracoscopic Esophagectomy With Intraoperative Nerve Monitoring for an Esophageal Cancer Patient With Aberrant Right Subclavian Artery.
Asian J Endosc Surg
January 2025
Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
An aberrant right subclavian artery (ARSA) is a rare vascular anomaly accompanied by nonrecurrent inferior laryngeal nerve (NRILN). Here, we described the cervical-first approach in thoracoscopic esophagectomy for an esophageal cancer patient with ARSA using the intraoperative nerve monitoring (IONM) system. First, a left cervical procedure proceeded to expose the left vagus nerve to attach the APS electrode of the IONM system, and the left cervical paraesophageal lymph nodes was dissected separately.
View Article and Find Full Text PDFEndovascular single-branched stent graft to treat complicated type B aortic dissection involving aortic arch anomalies.
Eur J Med Res
December 2024
Department of Peripheral Vascular Diseases, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277, Yanta West Road, Xi'an, Shaanxi, China.
Background: The optimal treatment of complicated type B aortic dissection (cTBAD) involving arch anomalies remain unclear.
Methods: We consecutively enrolled patients with cTBAD involving arch anomalies who underwent endovascular repair using a single-branched stent graft (SBSG) at our medical center between January 2020 and January 2023. The demographics, clinical manifestation, operation detail, and follow-up outcomes of these patients were retrospectively collected and analyzed.
[Surgical Treatment for Kommerell's Diverticulum and Aberrant Right Subclavian Artery with Stanford Type B Acute Aortic Dissection:Report of a Case].
Kyobu Geka
November 2024
Department of Cardiovascular Surgery, Gifu Municipal Hospital, Gifu, Japan.
Kommerell's diverticulum with an aberrant subclavian artery is a rare congenital aortic arch anomaly. Therefore surgical indication and strategy are not well established. A 43-year-old man was referred to our hospital with a chief complaint of chest and back pain.
View Article and Find Full Text PDFTwo-stage surgical treatment of Stanford type B acute aortic dissection associated with aberrant right subclavian artery dissection complicated by distal arch aortic aneurysm and abdominal aortic aneurysm: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular Surgery, St. Mary's Hospital, Tsubuku Hon-machi 422, Kurume, 830-8543, Japan.
Article Synopsis
- - Aberrant right subclavian artery (ARSA) is a congenital anomaly affecting 0.5-1.8% of people, often asymptomatic but can lead to symptoms like swallowing difficulties or airway obstruction; surgical intervention is recommended if it becomes symptomatic.
- - The coexistence of ARSA with type B aortic dissection is rare and may weaken the aortic wall, prompting the need for surgical management using techniques like TEVAR or open surgery.
- - A case of a 72-year-old man with both conditions was treated successfully using a two-stage surgical approach: first performing a bypass from the right common carotid artery to ARSA, followed by reconstruction of the thoracic aorta.
Development and Multicenter, Multiprotocol Validation of Neural Network for Aberrant Right Subclavian Artery Detection.
Yonsei Med J
September 2024
Department of Radiology and Center for Imaging Sciences, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Purpose: This study aimed to develop and validate a convolutional neural network (CNN) that automatically detects an aberrant right subclavian artery (ARSA) on preoperative computed tomography (CT) for thyroid cancer evaluation.
Materials And Methods: A total of 556 CT with ARSA and 312 CT with normal aortic arch from one institution were used as the training set for model development. A deep learning model for the classification of patch images for ARSA was developed using two-dimension CNN from EfficientNet.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!