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Aneurysm of an Aberrant Right Subclavian Artery: Case Report and Review of the Literature  PAUL D. KIERNAN, M.D., JOSEPH DEARANI, M.D., WILLIAM D. BYRNE,

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Presentation on theme: "Aneurysm of an Aberrant Right Subclavian Artery: Case Report and Review of the Literature  PAUL D. KIERNAN, M.D., JOSEPH DEARANI, M.D., WILLIAM D. BYRNE,"— Presentation transcript:

1 Aneurysm of an Aberrant Right Subclavian Artery: Case Report and Review of the Literature 
PAUL D. KIERNAN, M.D., JOSEPH DEARANI, M.D., WILLIAM D. BYRNE, M.D., THOMAS EHRLICH, M.D., WILLIAM CARTER, M.D., GARY KRASICKY, M.D., WILLIAM HARSHAW, M.D.  Mayo Clinic Proceedings  Volume 68, Issue 5, Pages (May 1993) DOI: /S (12) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Fig. 1 Diagram (superior view) of left aortic arch and anomalous right subclavian artery. (Redrawn from Grant.9) Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Fig. 2 Chest roentgenograms of 54-year-old man obtained some years before development of aneurysm of aberrant right subclavian artery (A) and at time of diagnosis (B). Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

4 Fig. 3 A and B, Computed tomograms of chest of 54-year-old man, showing origin of aneurysm of aberrant right subclavian artery arising from descending thoracic aorta. Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

5 Fig. 4 Aortogram of 54-year-old man, illustrating aneurysm of aberrant right subclavian artery emanating from a Kommerell diverticulum off descending thoracic aorta, without visualization of ipsilateral vertebral artery. Normal caliber of right subclavian artery is shown distally. Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

6 Fig. 5 Diagram depicting method of cross-clamping by using partial occlusion clamp across origin of Kommerell's diverticulum off descending thoracic aorta and cross-clamping of right subclavian artery through second intercostal space. Insert depicts thrombus retrieved from aneurysm. a. = artery; v. = vein. Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

7 Fig. 6 Diagram depicting Dacron graft reconstruction of descending aorta to right subclavian artery. Kommerell's diverticulum is oversewn with pledgets. Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions


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