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.
Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Adult
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Aneurysm / complications
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Aneurysm / diagnostic imaging
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Aneurysm / surgery*
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Angiography, Digital Subtraction
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Aortic Rupture / complications
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Aortic Rupture / diagnostic imaging
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Aortic Rupture / surgery*
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Aortography / methods
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation* / instrumentation
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Cardiovascular Abnormalities / complications
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Cardiovascular Abnormalities / diagnostic imaging
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Cardiovascular Abnormalities / surgery*
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Deglutition Disorders / complications
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Deglutition Disorders / diagnostic imaging
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Deglutition Disorders / surgery*
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Endovascular Procedures* / instrumentation
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Humans
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Male
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Prosthesis Design
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Stents
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Subclavian Artery / abnormalities
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / surgery
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular System Injuries / complications*
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Vascular System Injuries / diagnostic imaging
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Vascular System Injuries / surgery*
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Wounds, Nonpenetrating / complications
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Wounds, Nonpenetrating / diagnostic imaging
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Wounds, Nonpenetrating / surgery*
Supplementary concepts
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Aberrant subclavian artery