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

Ann Vasc Surg. 2012 Apr;26(3):421.e1-5. doi: 10.1016/j.avsg.2011.05.041. Epub 2012 Jan 30.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm / complications
  • Aneurysm / diagnostic imaging
  • Aneurysm / surgery*
  • Angiography, Digital Subtraction
  • Aortic Rupture / complications
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Cardiovascular Abnormalities / complications
  • Cardiovascular Abnormalities / diagnostic imaging
  • Cardiovascular Abnormalities / surgery*
  • Deglutition Disorders / complications
  • Deglutition Disorders / diagnostic imaging
  • Deglutition Disorders / surgery*
  • Endovascular Procedures* / instrumentation
  • Humans
  • Male
  • Prosthesis Design
  • Stents
  • Subclavian Artery / abnormalities
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular System Injuries / complications*
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / surgery*
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / diagnostic imaging
  • Wounds, Nonpenetrating / surgery*

Supplementary concepts

  • Aberrant subclavian artery