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The Annals of Thoracic Surgery, Vol 57, 1012-1014, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Aberrant right subclavian artery aneurysm: an analysis of surgical options

LH Harrison Jr, RC Batson and DR Hunter
West Jefferson Medical Center, Marrero, Louisiana.

During evaluation of a man for claudication, abnormal chest roentgenographic results were found. Computed tomography documented a 6.5-cm aneurysm of an aberrant retroesophageal right subclavian artery. Interruption of the right subclavian artery with an end-to-side subclavian-carotid anastomosis was performed via a right supraclavicular incision, followed immediately by left transthoracic interruption of the origin of the right subclavian artery using a heparin-bonded shunt. This approach avoids previously reported embolic complications while preserving brachial blood flow and providing safe access to the aorta.




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Copyright © 1994 by The Society of Thoracic Surgeons.