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. 1991;18(1):76–79.

Aneurysm of an Aberrant Right Subclavian Artery

Report of a Surgically Treated Case

Veliano Gordini 1,2,3,4,5, Massimo Collice 1,2,3,4,5, Emanuele Fedriga 1,2,3,4,5, Antonella Moreo 1,2,3,4,5, Marco Morello 1,2,3,4,5, Annamaria Porrini 1,2,3,4,5, Francesco Donatelli 1,2,3,4,5
PMCID: PMC324965  PMID: 15227513

Abstract

A 53-year-old man was admitted for treatment of an aberrant right subclavian artery aneurysm that had been diagnosed 5 years earlier and had recently begun to enlarge. The aneurysm, which involved the right subclavian artery from its origin, measured 47 mm in diameter and about 10 cm in length.

Because of the lesion's size and friability, a 2-stage operation was performed. In the 1st stage, the right subclavian and right vertebral arteries were revascularized with double bypass grafts via a right cervical approach. In the 2nd stage, the patient was repositioned and a left thoracotomy incision was made. With the aid of left-heart bypass, the aorta was cross-clamped proximal and distal to the lesion, and the aneurysmal orifice was closed with a Dacron patch. The patient was discharged from the hospital on the 17th postoperative day and remains asymptomatic 24 months later.

We recommend the 2-stage technique for similar cases because it prevents limb ischemia and reduces the risk of hemorrhagic and embolic complications. (Texas Heart Institute Journal 1991;18:76-9)

Keywords: Abnormalities/congenital defects

Keywords: aneurysm

Keywords: subclavian artery, right

Keywords: surgery

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Austin E. H., Wolfe W. G. Aneurysm of aberrant subclavian artery with a review of the literature. J Vasc Surg. 1985 Jul;2(4):571–577. doi: 10.1067/mva.1985.avs0020571. [DOI] [PubMed] [Google Scholar]
  2. Brown K., Batra P. MR imaging of aneurysm of an aberrant right subclavian artery. J Comput Assist Tomogr. 1987 Nov-Dec;11(6):1071–1073. doi: 10.1097/00004728-198711000-00032. [DOI] [PubMed] [Google Scholar]
  3. Campbell C. F. Repair of an aneurysm of an aberrant retroesophageal right subclavian artery arising from Kommerell's diverticulum. J Thorac Cardiovasc Surg. 1971 Aug;62(2):330–334. [PubMed] [Google Scholar]
  4. Engelman R. M., Madayag M., Spencer F. C. Aneurysm of aberrant right subclavian artery. Rare cause of superior mediastinal tumor. N Y State J Med. 1973 Jan 15;73(2):290–292. [PubMed] [Google Scholar]
  5. Esposito R. A., Khalil I., Galloway A. C., Spencer F. C. Surgical treatment for aneurysm of aberrant subclavian artery based on a case report and a review of the literature. J Thorac Cardiovasc Surg. 1988 May;95(5):888–891. [PubMed] [Google Scholar]
  6. Felson B. Ruptured anomalous right subclavian artery: aneurysm or diverticulum? Semin Roentgenol. 1989 Apr;24(2):121–126. doi: 10.1016/0037-198x(89)90033-3. [DOI] [PubMed] [Google Scholar]
  7. Gomes M. M., Bernatz P. E., Forth R. J. Arteriosclerotic aneurysm of an aberrant right subclavian artery. Dis Chest. 1968 Dec;54(6):549–552. doi: 10.1378/chest.54.6.549. [DOI] [PubMed] [Google Scholar]
  8. Hardy J. D. Aneurysm of aberrant right subclavian artery and Ondine's curse. J Thorac Cardiovasc Surg. 1989 Feb;97(2):319–320. [PubMed] [Google Scholar]
  9. Hunter J. A., Dye W. S., Javid H., Najafi H., Julian O. C. Arteriosclerotic aneurysm of anomalous right subclavian artery. J Thorac Cardiovasc Surg. 1970 May;59(5):754–758. [PubMed] [Google Scholar]
  10. Jauch K. W., Riel K. A., Lauterjung L., Berger H. Aneurysmen der Arteria lusoria. Falldarstellung und Literaturübersicht. Chirurg. 1988 Jun;59(6):418–424. [PubMed] [Google Scholar]
  11. Jebara V. A., Fabiani J. N., Acar C., Deloche A., Carpentier A. Surgical treatment of aberrant right subclavian artery aneurysms. J Thorac Cardiovasc Surg. 1989 Aug;98(2):297–298. [PubMed] [Google Scholar]
  12. Jourdan J., Schmitt R., Kreitman P., Hatchuel P., Blaive B., Dor V. Anévrysme sur arteria lusoria. Aspects cliniques, diagnostiques. Résultats post-opératoires après résection et rétablissement de la continuité artérielle. Arch Mal Coeur Vaiss. 1980 Feb;73(2):221–226. [PubMed] [Google Scholar]
  13. Kullnig P. Aneurysm of an aberrant right subclavian artery with bleeding into the esophageal wall. Semin Roentgenol. 1989 Apr;24(2):75–76. doi: 10.1016/0037-198x(89)90027-8. [DOI] [PubMed] [Google Scholar]
  14. Lynn R. B. Kommerell's diverticulum with esophago-arterial fistula. Can J Surg. 1969 Jul;12(3):331–333. [PubMed] [Google Scholar]
  15. McIntyre M. D., Lynn R. B. Kommerell's diverticulum. Can J Surg. 1980 Jul;23(4):356–356. [PubMed] [Google Scholar]
  16. Motta R., Lò G., Galli G., Spaggiari A., Vitello V., Sandonà F. Aneurysm of right retroesophageal subclavian artery. Ital J Surg Sci. 1986;16(3):211–215. [PubMed] [Google Scholar]
  17. Mulligan S., Nath P. H., Keller F. S., Zorn G., Hickey N. Acquired diseases of aberrant subclavian arteries. J Thorac Imaging. 1989 Apr;4(2):76–81. doi: 10.1097/00005382-198904000-00012. [DOI] [PubMed] [Google Scholar]
  18. Poon F. W., Stewart I. S. Aneurysm of an aberrant right subclavian artery. Br J Radiol. 1988 Mar;61(723):249–251. doi: 10.1259/0007-1285-61-723-249. [DOI] [PubMed] [Google Scholar]
  19. Rodgers B. M., Tabert J. L., Hollenbeck J. I. Aneurysm of anomalous subclavian artery: an unusal cause of dysphagia lusoria in childhood. Ann Surg. 1978 Feb;187(2):158–160. doi: 10.1097/00000658-197802000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Sakurai H., Lukban S., Litwak R. S. Coarctation of aorta associated with anomalous right subclavian artery and its aneurysm. N Y State J Med. 1973 Jan 15;73(2):292–296. [PubMed] [Google Scholar]
  21. Schmidt F. E., Hewitt R. L., Flores A. A., Jr Aneurysm of anomalous right subclavian artery. South Med J. 1980 Feb;73(2):255–256. doi: 10.1097/00007611-198002000-00038. [DOI] [PubMed] [Google Scholar]
  22. Stoney W. S., Alford W. C., Burrus G. R., Thomas C. S., Jr Aberrant right subclavian artery aneurysm. Ann Thorac Surg. 1975 Apr;19(4):460–467. doi: 10.1016/s0003-4975(10)64049-0. [DOI] [PubMed] [Google Scholar]
  23. Vega A., Ortíz A., Longo J. M., Pagola M. A. CT of ruptured aneurysm of aberrant right subclavian artery. Cardiovasc Intervent Radiol. 1987;10(1):13–15. doi: 10.1007/BF02583299. [DOI] [PubMed] [Google Scholar]
  24. Verbizier G., Gasquet C., Azaïs O., Vandermarcq P., Drouineau J., Barret D. Anévrysme de l'artère sous-clavière droite aberrante. Apport original de la tomodensitométrie et de l'angiographie numérisée. J Radiol. 1987 Jan;68(1):69–72. [PubMed] [Google Scholar]
  25. Yavuzer S., Cobanli B., Kavukçu S., Beder S., Akay H., Kara E. Aneurysms of aberrant right subclavian artery: a rare cause of the superior vena cava syndrome. Vasa. 1989;18(1):69–73. [PubMed] [Google Scholar]

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