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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Management of aberrant subclavian artery aneurysms
1Department of Surgery, Georgetown University Medical Center, Washington, DC 20007, USA.
The Journal of Cardiovascular Surgery
|October 29, 2000
Summary
Aberrant right subclavian artery aneurysms are rare congenital anomalies. Surgical repair, including bypass, can effectively treat these potentially fatal mediastinal masses.
Area of Science:
- Cardiovascular Surgery
- Vascular Anomalies
Background:
- Aberrant subclavian artery is the most common aortic arch anomaly.
- Aneurysms of aberrant subclavian arteries are rare but can cause severe complications.
Observation:
- A 72-year-old asymptomatic male presented with an aberrant right subclavian artery aneurysm found incidentally on chest X-ray.
- Symptoms like dysphagia, dyspnea, or ischemia warrant high clinical suspicion for this condition.
Findings:
- Surgical repair involved aneurysmectomy and bypass from the right common carotid to the subclavian artery.
- Literature review of 74 cases identified trends in surgical management.
Implications:
- Advances in imaging may lead to earlier detection of asymptomatic aneurysms.
- Treatment strategies may evolve with improved diagnostic and interventional radiology.
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