Aberrant Right Subclavian Artery in Blunt Aortic Injury: Implication for Treatment and Review of the Literature

被引:3
作者
Coppi, Giovanni [1 ]
Tshomba, Yamume [1 ]
Psacharopulo, Daniele [1 ]
Marone, Enrico Maria [1 ]
Chiesa, Roberto [1 ]
机构
[1] Univ Vita Salute San Raffaele, Sch Med, Vasc Surg Sci Inst H San Raffaele, Milan, Italy
关键词
AMERICAN-ASSOCIATION; ENDOVASCULAR REPAIR; PRACTICE GUIDELINES; MULTICENTER TRIAL; THORACIC AORTA; SURGERY; TRANSECTION; EXPERIENCE; MANAGEMENT; ANEURYSM;
D O I
10.1016/j.avsg.2012.01.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Blunt aortic injury (BAI) involving an aberrant right subclavian artery (ARSA) is uncommon. The presence of an ARSA entails several treatment issues, in particular regarding the risk of perioperative posterior cerebral stroke. We report the case of a man with an ARSA who suffered from BAI. An initial conservative treatment with delayed open repair was chosen. A review of the published literature with discussion of the case is presented. The presence of an ARSA in patients with BAI can be considered a poor anatomy for endovascular repair, and suitable patients may benefit from delayed open repair.
引用
收藏
页码:861.e1 / 861.e6
页数:6
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