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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 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 Rouman
1   Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
,
Alexander Petrovitch
2   Deparment of Diagnostic and Interventional Radiology, Helios Klinik Blankenhain, Germany
,
Eva-Maria Gey
1   Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
,
Thomas Kuntze
1   Deparment of Heart Surgery, Zentralklinik Bad Berka, Bad Berka, Germany
› Institutsangaben
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Publikationsverlauf

18. Dezember 2016

28. April 2017

Publikationsdatum:
15. Juni 2017 (online)

   Lizenzen und Reprints

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.

Keywords

arteria lusoria - aberrant right subclavian artery - aneurysm
 

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