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Hybrid Treatment of an Aortic Arch Aneurysm with an Aberrant Right Subclavian Artery
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ÃÖÁ¾Çö(Choi Jong-Hyun) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ¼øȯ±â³»°ú
ÀåÇýÀ±(Jang Hye-Yoon) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ¼øȯ±â³»°ú
Àü¹«¼Û(Jeon Moo-Song) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ¼øȯ±â³»°ú
ÀÌÇý¿ø(Lee Hye-Won) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ¼øȯ±â³»°ú
¹ÚÁø¼·(Park Jin-Sup) - ºÎ»ê´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ºÎ»ê´ëÇб³º´¿ø ¼øȯ±â³»°ú
±è»óÇÊ(Kim Sang-Pil) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ÈäºÎ¿Ü°ú
ÀÌÇÑö(Lee Han-Cheol) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ¼øȯ±â³»°ú
Abstract
Aberrant right subclavian artery (ARSA) is a rare congenital anomaly but is the most common of the congenital vascular anomalies of the aortic arch. We report the case of a 68-year-old female undergoing chemotherapy for multiple myeloma who had a large thoracic aortic aneurysm (7.4 cm) with ARSA. She was treated with a hybrid procedure that combined a left common carotid-to-subclavian artery bypass with a "thoracic endovascular aortic repair (TEVAR)" because of the risk associated with a thoracotomy. A stent graft was deployed in the proximal part of the descending aorta to cover the thoracic aortic aneurysm after a left common carotid-to-subclavian bypass was made to restore blood flow in the left arm. There was no endoleak on digital subtraction angiography. Hybrid therapy can be performed successfully for the treatment of thoracic aortic aneurysm with ARSA.
Å°¿öµå
Aorta, Aortic aneurysm, Stents, Aberrant subclavian artery
KMID :
0882420140870020193
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