Anomalous Right Subclavian Artery and Coarctation-Related Aneurysm Repaired with Bilateral Subclavian-to-Carotid Transposition and Exclusion Stent-Grafting

Denton, O.J.; Bloor, J.; Martin, R.P.; Tometzki, A.J.P.; Hamilton, M.C.K.; Smith, F.C.T.

doi:10.1016/j.ejvs.2008.02.014

« Previous Next »European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 3 , Pages 300-302, September 2008

Anomalous Right Subclavian Artery and Coarctation-Related Aneurysm Repaired with Bilateral Subclavian-to-Carotid Transposition and Exclusion Stent-Grafting

O.J. Denton
- Department of Vascular Surgery, Bristol Royal Infirmary, Bristol, UK
J. Bloor
- Department of Vascular Surgery, Bristol Royal Infirmary, Bristol, UK
R.P. Martin
- Department of Congenital Cardiology, Bristol Royal Hospital for Children, Bristol, UK
A.J.P. Tometzki
- Department of Congenital Cardiology, Bristol Royal Hospital for Children, Bristol, UK
M.C.K. Hamilton
- Department of Radiology, Bristol Royal Infirmary, Bristol, UK
F.C.T. Smith
- Department of Vascular Surgery, Bristol Royal Infirmary, Bristol, UK
- Corresponding author. F. C. T. Smith, Consultant Senior Lecturer Vascular Surgery, Department of Clinical Sciences at South Bristol, Department of Surgery, Bristol Royal Infirmary, Bristol, UK. Tel.: +44 117 9283284; fax +44 117 9252736.

Received 25 October 2007; accepted 27 February 2008. published online 07 April 2008.

Abstract

Introduction

Aortic arch anomalies are common; however, the presence of concomitant pathology may present a complex management problem.

Report

A 42 year old lady with anomalous right subclavian artery was found to have recurrent coarctation of the aorta and an aneurysm related to the previous repair. Management of the aneurysm was complicated by the proximity of subclavian artery origins. Bilateral subclavian-to-carotid transposition was undertaken to preserve antegrade vertebral artery flow, with subsequent exclusion stent-grafting of the aneurysm and coarctation.