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

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 emergenc...

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Autores principales: Rouman, Mina, Petrovitch, Alexander, Gey, Eva-Maria, Kuntze, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472450/
https://www.ncbi.nlm.nih.gov/pubmed/28626623
http://dx.doi.org/10.1055/s-0037-1603625
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author Rouman, Mina
Petrovitch, Alexander
Gey, Eva-Maria
Kuntze, Thomas
author_facet Rouman, Mina
Petrovitch, Alexander
Gey, Eva-Maria
Kuntze, Thomas
author_sort Rouman, Mina
collection PubMed
description 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.
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spelling pubmed-54724502017-06-16 Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report Rouman, Mina Petrovitch, Alexander Gey, Eva-Maria Kuntze, Thomas Thorac Cardiovasc Surg Rep 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. Georg Thieme Verlag KG 2017-01 2017-06-15 /pmc/articles/PMC5472450/ /pubmed/28626623 http://dx.doi.org/10.1055/s-0037-1603625 Text en © Thieme Medical Publishers
spellingShingle Rouman, Mina
Petrovitch, Alexander
Gey, Eva-Maria
Kuntze, Thomas
Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report
title Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report
title_full Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report
title_fullStr Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report
title_full_unstemmed Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report
title_short Interdisciplinary Management of a Perforated Aneurysmal Arteria Lusoria: A Case Report
title_sort interdisciplinary management of a perforated aneurysmal arteria lusoria: a case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472450/
https://www.ncbi.nlm.nih.gov/pubmed/28626623
http://dx.doi.org/10.1055/s-0037-1603625
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