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Management of Traumatic Aortic Isthmus Rupture in Case of Aberrant Right Subclavian Artery (Arteria Lusoria)

Authors
Journal
Annals of Vascular Surgery
0890-5096
Publisher
Elsevier
Volume
26
Issue
3
Identifiers
DOI: 10.1016/j.avsg.2011.05.041
Disciplines
  • Medicine

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.

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