Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with Marfan syndrome

Gregory A. Stanley; Frank R. Arko; Mazin I. Foteh; Michael E. Jessen; J. Michael Dimaio

doi:10.1016/j.athoracsur.2011.12.082

Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with Marfan syndrome

Gregory A. Stanley, Frank R. Arko, Mazin I. Foteh, Michael E. Jessen, J. Michael Dimaio

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

We report the case of a 26-year-old female patient with Marfan syndrome and an aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum. The patient presented with spontaneous acute dissection of the ARSA that showed fusiform dilation to 4 cm in diameter. Definitive treatment was performed using a two-stage hybrid endovascular technique, including extrathoracic bilateral upper extremity bypass and thoracic endovascular aortic repair with debranching of the right and left subclavian arteries. This was followed by coil and plug embolization to exclude the dissection and prevent subsequent endoleak.

Original language	English (US)
Pages (from-to)	639-641
Number of pages	3
Journal	Annals of Thoracic Surgery
Volume	94
Issue number	2
DOIs	https://doi.org/10.1016/j.athoracsur.2011.12.082
State	Published - Aug 1 2012

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2011.12.082

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abstract = "We report the case of a 26-year-old female patient with Marfan syndrome and an aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum. The patient presented with spontaneous acute dissection of the ARSA that showed fusiform dilation to 4 cm in diameter. Definitive treatment was performed using a two-stage hybrid endovascular technique, including extrathoracic bilateral upper extremity bypass and thoracic endovascular aortic repair with debranching of the right and left subclavian arteries. This was followed by coil and plug embolization to exclude the dissection and prevent subsequent endoleak.",

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AU - Jessen, Michael E.

AU - Dimaio, J. Michael

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AB - We report the case of a 26-year-old female patient with Marfan syndrome and an aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum. The patient presented with spontaneous acute dissection of the ARSA that showed fusiform dilation to 4 cm in diameter. Definitive treatment was performed using a two-stage hybrid endovascular technique, including extrathoracic bilateral upper extremity bypass and thoracic endovascular aortic repair with debranching of the right and left subclavian arteries. This was followed by coil and plug embolization to exclude the dissection and prevent subsequent endoleak.

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Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with Marfan syndrome

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