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Case Reports
Journal Article
Management of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria).
Annals of Vascular Surgery 2012 April
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.
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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