CC-BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2017; 06(01): e15-e17
DOI: 10.1055/s-0037-1603625
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report

Mina Rouman1, Alexander Petrovitch2, Eva-Maria Gey1, Thomas Kuntze1
  • 1Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
  • 2Deparment of Diagnostic and Interventional Radiology, Helios Klinik Blankenhain, Germany
Further Information

Publication History

18 December 2016

28 April 2017

Publication Date:
15 June 2017 (online)

Abstract

Background An aberrant right subclavian artery (RSA) or arteria lusoria is the most common congenital abnormality of the aortic arch with an incidence of 0.3 to 3.0%.

Case Description We report a case of a perforated aneurysmal aberrant RSA, managed using a hybrid approach.

Conclusion In emergency cases with acute bleeding, we recommend an endovascular approach to avoid the lethal sequel of arterial leakage. Whenever possible, the pulsatile blood flow to the right arm should be restored. Management should be tailored to the nature of the aneurysmal aberrant RSA, patient's comorbidities, and concomitant lesions.