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Eur J Cardiothorac Surg 2005;27:1125-1127
© 2005 Elsevier Science NL

Case report

Two-stage surgical and endovascular treatment of an aneurysmal aberrant right subclavian (Lusoria) artery

^a Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 7, 24105 Kiel, Germany
^b Department of Radiology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 7, 24105 Kiel, Germany

Received 24 September 2004; received in revised form 18 February 2005; accepted 24 February 2005.

^* Corresponding author. Tel.: +49 431 597 4403; fax: +49 431 597 4402. (E-mail: timattmann{at}web.de).

We report a case of a 75-year-old male patient with an asymptomatic aneurysm of an aberrant right subclavian artery (ARSA). Timely elective therapy of this entity is indicated due to the high risk of rupture. Because of the patient's reduced physical state, we performed an interdisciplinary endovascular aortic stent-grafting for the exclusion of the ARSA aneurysm. However, the proximal landing zone for the thoracic stent had to be chosen proximal to the origin of the left subclavian artery. Thus, 2 days before the endovascular procedure, a left-sided carotido-subclavian bypass was accomplished. The peri- and postoperative course was uneventful. The technical results in our patient were excellent, no leakage was visible so far.

Key Words: Aberrant right subclavian artery • Arteria lusoria • Carotido-subclavian bypass • Endovascular stent-graft • Endovascular occluder

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