• Ann Vasc Surg · Apr 2012

    Case Reports

    Management of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria).

    • Kiriakos Ktenidis, Athanasios Lioupis, Argirios Giannopoulos, George Ginis, and Dimitrios Kiskinis.
    • First Department of Surgery and Vascular Surgery, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. kirktenidis@gmail.com
    • Ann Vasc Surg. 2012 Apr 1; 26 (3): 421.e1-5.

    BackgroundTo present an unusual case of blunt aortic injury in a 30-year-old male patient with an aberrant right subclavian artery.Methods And ResultsDriven by the complicated and challenging nature of the case, we decided to treat the patient by a combined approach-right subclavian artery transposition and endograft implantation at the isthmus level. During the 24-month follow-up (clinical examination, angiogram, computed tomographic scan), we registered no complaints; normal perfusion of the right arm; and adequate sealing of the aortic tear.ConclusionsWe believe that the hybrid management of such trauma is a feasible, effective, and less-invasive option.Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

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