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One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm  Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki,

Published byRosa María Córdoba Saavedra Modified over 5 years ago

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Presentation on theme: "One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm  Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki,"— Presentation transcript:

1 One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm 
Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki, MD, PhD, Taijiro Sueda, MD, PhD  Journal of Vascular Surgery Cases  Volume 1, Issue 4, Pages (December 2015) DOI: /j.jvsc Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 Preoperative three-dimensional computed tomography (A, front view; B, posterior view; C, left lateral view) showed an aberrant right subclavian artery (ARSA) with dilation at its origin and the saccular aneurysm at the lateral side of the left subclavian artery (LSA). Preoperative computed tomography (D) showed the ARSA passing behind the trachea and esophagus. LCCA, Left common carotid artery; RCCA, right common carotid artery. Journal of Vascular Surgery Cases 2015 1, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 Transesophageal ultrasonography showed the descending aorta, the aberrant right subclavian artery (ARSA), and the thoracic aneurysm (A), exclusion of the ARSA and aneurysm by the stent graft (B), and occlusion of the ARSA by the vascular plug on the biplane image (C). AVP, Amplatzer vascular plug; LSA, LSCA, left subclavian artery; RSCA, right subclavian artery; TAA, thoracic aortic aneurysm. Journal of Vascular Surgery Cases 2015 1, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

4 Fig 3 Postoperative three-dimensional computed tomography (A, front view; B, posterior view; C, left lateral view) showed the stent graft excluding the aberrant right subclavian artery (ARSA) and aneurysm and the ARSA that was occluded by the stent graft and Amplatzer vascular plug (AVP). Postoperative computed tomography (D) showed occlusion of aneurysm and the ARSA by the AVP, which did not affect the trachea or esophagus. LCCA, Left common carotid artery; LSA, left subclavian artery; RCCA, right common carotid artery; RSA, right subclavian artery. Journal of Vascular Surgery Cases 2015 1, DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

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