KMID : 0368120130430010066
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Korean Circulation Journal 2013 Volume.43 No. 1 p.66 ~ p.69
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Hybrid Treatment for Thoracic Aortic Aneurysm Combined with Aberrant Right Subclavian Artery
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Lee Joong-Hee
Ko Young-Guk Yoon Young-Nam Choi Dong-Hoon Lee Do-Yun
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Abstract
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An aberrant right subclavian artery (ARSA) is the most common vascular abnormality of the aortic arch and is associated with development of aneurysms in 3-8% of these anomalies. In this case report, we describe an 84-year-old man with a symptomatic ARSA treated with staged hybrid procedure combining surgical replacement of the ascending aorta and bilateral carotid-to-subclavian artery bypass with implantation of a stent graft in the aortic arch and descending aorta. Our case suggests that a less invasive hybrid therapy can be performed successfully for the treatment of ARSA with aneurysmal change in patients at high surgical risk.
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KEYWORD
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Aberrant right subclavian artery, Aortic aneurysm, thoracic, Endovascular procedures
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