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Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience

Received: 16 August 2018     Accepted: 5 November 2018     Published: 2 March 2019
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Abstract

Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 4, Issue 6)
DOI 10.11648/j.ijcts.20180406.11
Page(s) 43-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Arteria Lusoria, Subclavian Artery Retro-Esophageal, Aberrant Subclavian Artery, Kommerell Diverticulum, Aortic Endograft

References
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Cite This Article
  • APA Style

    Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas. (2019). Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. International Journal of Cardiovascular and Thoracic Surgery, 4(6), 43-48. https://doi.org/10.11648/j.ijcts.20180406.11

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    ACS Style

    Souad Benallal; Mohamed Nadjib Bouayed; Fabien Koskas. Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. Int. J. Cardiovasc. Thorac. Surg. 2019, 4(6), 43-48. doi: 10.11648/j.ijcts.20180406.11

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    AMA Style

    Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas. Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. Int J Cardiovasc Thorac Surg. 2019;4(6):43-48. doi: 10.11648/j.ijcts.20180406.11

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  • @article{10.11648/j.ijcts.20180406.11,
      author = {Souad Benallal and Mohamed Nadjib Bouayed and Fabien Koskas},
      title = {Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {4},
      number = {6},
      pages = {43-48},
      doi = {10.11648/j.ijcts.20180406.11},
      url = {https://doi.org/10.11648/j.ijcts.20180406.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20180406.11},
      abstract = {Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.},
     year = {2019}
    }
    

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    T1  - Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience
    AU  - Souad Benallal
    AU  - Mohamed Nadjib Bouayed
    AU  - Fabien Koskas
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    DO  - 10.11648/j.ijcts.20180406.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
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    EP  - 48
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20180406.11
    AB  - Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.
    VL  - 4
    IS  - 6
    ER  - 

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Author Information
  • Faculty of Medicine, University “Djilali Liabes”, Sidi Bel Abbes, Algeria

  • Department of Vascular Surgery, College of Medical Sciences of ORAN, Oran, Algeria

  • Department of Vascular Surgery, University Hospital "Pitie Salpetrière", Paris, France

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