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).
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http://dx.doi.org/10.1055/s-0032-1328967 | DOI Listing |
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.
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 PDFGen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular Surgery, St. Mary's Hospital, Tsubuku Hon-machi 422, Kurume, 830-8543, Japan.
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.
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.
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