Thoracic Endovascular Repair of Blunt Thoracic Aortic Injury in the Setting of an Aberrant Right Subclavian Artery.

Authors :: Harris DG
Huffner ME
Croal-Abrahams L
DiChiacchio L
Farivar BS
Ayers JD
Toursavadkohi S
Rabin J
Crawford RS
Source :: Annals of vascular surgery [Ann Vasc Surg] 2017 Jul; Vol. 42, pp. 302.e15-302.e20. Date of Electronic Publication: 2017 Apr 06.
Publication Year :: 2017
Abstract: Blunt thoracic aortic injury (BTAI) in a patient with an aberrant right subclavian artery (ARSA) presents unique challenges for patient management and aortic repair. Specific considerations include the need to treat coincidental ARSA, subclavian revascularization, and ARSA exclusion. Despite the rise of endovascular repair as the primary modality for aortic repair for BTAI, reports of this technique in the setting of ARSA are limited. Here we describe 3 patients with ARSA who underwent TEVAR for BTAI, and discuss critical management and technical issues in these patients.<br /> (Copyright © 2017 Elsevier Inc. All rights reserved.)

Subjects :: Adult
Aneurysm diagnostic imaging
Aorta, Thoracic diagnostic imaging
Aorta, Thoracic injuries
Aortography methods
Blood Vessel Prosthesis
Cardiovascular Abnormalities diagnostic imaging
Computed Tomography Angiography
Female
Humans
Male
Middle Aged
Prosthesis Design
Subclavian Artery diagnostic imaging
Thoracic Injuries diagnostic imaging
Thoracic Injuries etiology
Treatment Outcome
Vascular System Injuries diagnostic imaging
Vascular System Injuries etiology
Wounds, Nonpenetrating diagnostic imaging
Wounds, Nonpenetrating etiology
Accidents, Traffic
Aneurysm complications
Aorta, Thoracic surgery
Blood Vessel Prosthesis Implantation instrumentation
Cardiovascular Abnormalities complications
Endovascular Procedures instrumentation
Subclavian Artery abnormalities
Thoracic Injuries surgery
Vascular System Injuries surgery
Wounds, Nonpenetrating surgery

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