| Hybrid Treatment of an Aortic Arch Aneurysm with an Aberrant Right Subclavian Artery |
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Jong Hyun Choi1, Hye Yoon Jang1, Moo Song Jeon1, Hye-Won Lee1, Jin Sup Park1, Sang-pil Kim2, Han Cheol Lee1 |
1Division of Cardiology, Departments of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
2Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea |
| 이상성 오른쪽 빗장밑동맥이 있는 흉부대동맥류의 스텐트 이식편 치료 |
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최종현1, 장혜윤1, 전무송1, 이혜원1, 박진섭1, 김상필2, 이한철1 |
1부산대학교 의학전문대학원 부산대학교병원 순환기내과
2부산대학교 의학전문대학원 부산대학교병원 흉부외과 |
Correspondence:
Han Cheol Lee, Tel: +82-51-240-7217, Fax: +82-51-240-7796, Email: glaraone@hanmail.net
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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Aberrant right subclavian artery (ARSA) is a rare congenital anomaly but is the most common of the congenital vascular anomalies of the aortic arch. We report the case of a 68-year-old female undergoing chemotherapy for multiple myeloma who had a large thoracic aortic aneurysm (7.4 cm) with ARSA. She was treated with a hybrid procedure that combined a left common carotid-to-subclavian artery bypass with a "thoracic endovascular aortic repair (TEVAR)" because of the risk associated with a thoracotomy. A stent graft was deployed in the proximal part of the descending aorta to cover the thoracic aortic aneurysm after a left common carotid-to-subclavian bypass was made to restore blood flow in the left arm. There was no endoleak on digital subtraction angiography. Hybrid therapy can be performed successfully for the treatment of thoracic aortic aneurysm with ARSA. |
| Key Words:
Aorta; Aortic aneurysm; Stents; Aberrant subclavian artery |
| 주제어:
대동맥; 대동맥류; 스텐트; 빗장밑동맥 |
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