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KMID : 0882420140870020193
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Korean Journal of Medicine
2014 Volume.87 No. 2 p.193 ~ p.199
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Hybrid Treatment of an Aortic Arch Aneurysm with an Aberrant Right Subclavian Artery
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Choi Jong-Hyun
Jang Hye-Yoon
Jeon Moo-Song
Lee Hye-Won
Park Jin-Sup
Kim Sang-Pil
Lee Han-Cheol
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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.
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KEYWORD
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Aorta, Aortic aneurysm, Stents, Aberrant subclavian artery
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