Embolization of an Aberrant Right Subclavian Artery Aneurysm with Amplatzer Vascular Plug without Bypass.

Int J Angiol

Division of Vascular Surgery, NSLIJ Health System, Manhasset, New York.

Published: December 2012

AI Article Synopsis

  • Aberrant right subclavian artery (ARSA) aneurysms are uncommon but pose a significant risk of rupture and other complications, with a high mortality rate post-rupture.
  • Open surgical repair often involves aggressive procedures like thoracotomy, which can be risky for patients with other health issues.
  • A case study is presented of an 80-year-old woman with a 4 cm asymptomatic ARSA aneurysm successfully treated entirely through endovascular techniques, specifically using an Amplatzer vascular plug.

Article Abstract

Aberrant right subclavian artery (ARSA) aneurysms are rare, but the risk of rupture and thromboembolism is high, with a postrupture mortality rate of 50%. Open surgical repair of ARSA aneurysms usually requires thoracotomy and aortic grafting, which can be contraindicated in high-risk patients with multiple comorbidities. Endovascular repair of ARSA aneurysms has been reported, with or without adjunctive surgical bypass. We report a case of an 80-year-old woman resenting with an asymptomatic 4 cm ARSA aneurysm who underwent a completely endovascular treatment of the aneurysm using an Amplatzer vascular plug II (St. Jude Medical Inc., St. Paul, MN).

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3578609PMC
http://dx.doi.org/10.1055/s-0032-1328967DOI Listing

Publication Analysis

Top Keywords

arsa aneurysms
12
aberrant subclavian
8
subclavian artery
8
aneurysm amplatzer
8
amplatzer vascular
8
vascular plug
8
repair arsa
8
embolization aberrant
4
artery aneurysm
4
plug bypass
4

Similar Publications

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.

View Article and Find Full Text PDF

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 PDF
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.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Aberrant right subclavian artery in the absence of other prenatal ultrasound findings: Should we still be concerned?

J Clin Ultrasound

October 2024

Zeynep Kamil Women and Children's Diseases Training and Research Hospital, Perinatology, University of Health Sciences, Istanbul, Turkey.

Objective: To analyze the value of prenatal diagnostic genetic testing in cases with isolated aberrant right subclavian artery (ARSA).

Methods: This is a retrospective cohort study, conducted between January 2015-January 2022 in a fetal medicine center. Women who had an ultrasound scan and diagnosed with fetal ARSA were included.

View Article and Find Full Text PDF

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!