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Case Reports
Less-Invasive Endovascular Treatment of Arch Aneurysm With Aberrant Right Subclavian Artery.
- Yosuke Takahashi, Yasuyuki Sasaki, Yasuyuki Kato, Manabu Motoki, Yasuyuki Bito, Akimasa Morisaki, Makoto Miyabe, and Gouki Inno.
- Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan. Electronic address: ysk@msic.med.osaka-cu.ac.jp.
- Ann. Thorac. Surg. 2015 Sep 1;100(3):1089-91.
AbstractWe report a patient with an arch aneurysm with an aberrant right subclavian artery who underwent successful endovascular treatment with the chimney technique and bilateral carotid artery-to-subclavian artery bypasses. We used a chimney graft in the left carotid artery to preserve its flow. The bilateral carotid-to-subclavian artery bypasses preserved perfusion of the bilateral vertebral arteries. A thoracic stent graft was subsequently deployed in the aortic arch over the chimney graft of the left carotid artery. There have been few reports about less-invasive treatment for arch aneurysm with aberrant right subclavian artery. This technique was an effective strategy to avoid a high-risk open operation.Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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