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European Journal of Cardio-Thoracic Surgery, Vol 4, 105-106, Copyright © 1990 by European Association for Cardio-thoracic Surgery

ARTICLES

Thoracic aneurysm in association with an aberrant right subclavian artery

C Gross, F Pressl and P Brucke
I. Surgical Department, General Hospital Linz, Austria.

A case of a 45-year-old man is presented with clinical signs of a dissecting aortic aneurysm. Angiography and CT demonstrated a dissecting thoracic aneurysm (deBakey type III a) and an aberrant right subclavian artery arising from this aneurysm at the fourth branch of the aortic arch. In the first step, the aberrant artery was implanted into the right common carotid artery. In a second operation, the aneurysm was replaced by a Dacron tube. The advantage of our procedure is the perfusion of at least one vertebral artery during aortic cross- clamping and easier access to the aneurysm through a left thoracotomy. As far as we know, this is the fourth presentation of such a case in the literature in which the other cases concern angiographic or post- mortem findings.


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 J. Thorac. Cardiovasc. Surg.Home page
M. Bednarkiewicz, J. H. Robert, G. Khatchatourian, G. Genin, F. Irmay, and B. Faidutti
TRAUMATIC RUPTURE OF THE AORTIC ISTHMUS IN A PATIENT WITH AN ABERRANT RIGHT SUBCLAVIAN ARTERY: THERAPEUTIC IMPLICATIONS
J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1112 - 1113.
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Copyright © 1990 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.