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Eur J Cardiothorac Surg 1999;16:246-248
© 1999 Elsevier Science NL

Case report

Two-stage repair of a combined aneurysm of the descending aorta and the aberrant right subclavian artery

Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany

Corresponding author. Department of Cardiovascular Surgery, Christian-Albrechts-University, Amold-Heller-Strasse 7, D-24105 Kiel, Germany. Tel.: +49-431-5974400; fax: +49-431-5974402
e-mail: aboening{at}kielheart.uni-kiel.de

In cases of combined aneurysms of the descending aorta and the aberrant right subclavian artery a common surgical strategy has not been clearly elaborated. In this report the case of a 76-year-old male patient with this rare combination of aneurysms is presented. The surgical strategy consisted of a two-stage approach for repairing both aneurysms maintaining the perfusion of the right subclavian and vertebral artery, finally providing an excellent postoperative result even in a patient of this advanced age.

Key Words: Aberrant right subclavian artery • Aneurysm • Surgical repair

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