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Management of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria).

TitleManagement of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria).
Publication TypeJournal Article
Year of Publication2012
AuthorsKtenidis, K., Lioupis A., Giannopoulos A., Ginis G., & Kiskinis D.
JournalAnn Vasc Surg
Volume26
Issue3
Pagination421.e1-5
Date Published2012 Apr
ISSN1615-5947
KeywordsAdult, Aneurysm, Angiography, Digital Subtraction, Aortic Rupture, Aortography, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Cardiovascular Abnormalities, Deglutition Disorders, Endovascular Procedures, Humans, Male, Prosthesis Design, Stents, Subclavian Artery, Tomography, X-Ray Computed, Treatment Outcome, Vascular System Injuries, Wounds, Nonpenetrating
Abstract

BACKGROUND: To present an unusual case of blunt aortic injury in a 30-year-old male patient with an aberrant right subclavian artery.METHODS AND RESULTS: Driven by the complicated and challenging nature of the case, we decided to treat the patient by a combined approach-right subclavian artery transposition and endograft implantation at the isthmus level. During the 24-month follow-up (clinical examination, angiogram, computed tomographic scan), we registered no complaints; normal perfusion of the right arm; and adequate sealing of the aortic tear.CONCLUSIONS: We believe that the hybrid management of such trauma is a feasible, effective, and less-invasive option.

DOI10.1016/j.avsg.2011.05.041
Alternate JournalAnn Vasc Surg
PubMed ID22285352

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