Combined open and endovascular treatment of a right subclavian artery aneurysm: A case report

• Published in: Journal of vascular surgery Vol. 42; no. 6; pp. 1206 - 1209
• Main Authors: Resch, Timothy A., Lyden, Sean P., Gavin, Timothy J., Clair, Daniel G.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.12.2005; Elsevier
• Subjects: Aged; Aneurysm - diagnostic imaging; Aneurysm - surgery; Angiography; Biological and medical sciences; Blood and lymphatic vessels; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - methods; Cardiology. Vascular system; Diseases of the aorta; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Follow-Up Studies; Humans; Male; Medical sciences; Polyethylene Terephthalates; Stents; Subclavian Artery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tomography, X-Ray Computed; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Vascular disease; Right subclavian artery; Case study; Surgery; Aneurysm; Cardiovascular disease; Endovascular route; Combined treatment
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2005.07.045

A 69-year-old man with previous ascending aortic repair combined with valve replacement for an ascending aortic aneurysm presented with a type 2 thoracoabdominal aneurysm and a 4.4-cm aneurysm of the right subclavian artery. Because of the anatomic location of the aneurysm and his previous operation, an innominate to carotid artery stent graft and a carotid-subclavian bypass and vertebral artery bypass were performed. Postoperative computed tomographic angiography confirmed good flow in the right carotid and vertebral artery, and the patient recovered without complication.