Your browser doesn't support javascript.
loading
Three Different Strategies for Repair of Symptomatic or Aneurysmatic Aberrant Right Subclavian Arteries
Selçuk, İsmail; Sicim, Hüseyin; Selçuk, Ümmühan Nehir; Güven, Bülent Barış; Yılmaz, Ahmet Turan.
  • Selçuk, İsmail; Abdülhamid Han Training and Research Hospital. Department of Cardiovascular Surgery. İstanbul. TR
  • Sicim, Hüseyin; Kırklareli Training and Research Hospital. Department of Cardiovascular Surgery. Kırklareli. TR
  • Selçuk, Ümmühan Nehir; Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital. Department of Cardiovascular Surgery. Istanbul. TR
  • Güven, Bülent Barış; Abdülhamid Han Training and Research Hospital. Department of Anesthesiology. İstanbul. TR
  • Yılmaz, Ahmet Turan; Abdülhamid Han Training and Research Hospital. Department of Cardiovascular Surgery. İstanbul. TR
Rev. bras. cir. cardiovasc ; 37(6): 801-806, Nov.-Dec. 2022. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1407328
ABSTRACT
ABSTRACT

Introduction:

In this study, we aimed to present three different methods for symptomatic aberrant right subclavian artery (ARSA) surgery.

Methods:

We identified 11 consecutive adult patients undergoing symptomatic and/or aneurysmal ARSA repair between January 2016 and December 2020. Symptoms were dysphagia (n=8) and dyspnea + dysphagia (n=3). Six patients had aneurysm formation of the ARSA (mean diameter of 4.2 cm [range 2.8 - 6.3]). All data were analyzed retrospectively.

Results:

Median age of the patients (7 females/4 males) was 55 years (range 49 - 62). The first four patients (36.4%) underwent hybrid repair using thoracic endovascular aortic repair (TEVAR) and bilateral carotid-subclavian artery bypass (CScBp). Three patients (27.2%) were treated by open ARSA resection/ligation with left mini posterolateral thoracotomy (LMPLT) and right CScBp. And the last four patients (36.4%) underwent ARSA resection/ligation with LMPLT and ascending aorta-right subclavian artery bypass with upper mini sternotomy (UMS). Two of the four patients who underwent TEVAR + bilateral CScBp had continuing dysphagia cause of persistent esophageal compression. Brachial plexus injury developed in one of three patients who underwent LMPLT + right CScBp. Pleural effusion treated with thoracentesis alone was observed in one of four patients who underwent UMS + LMPLT.

Conclusion:

Among the symptomatic and/or aneurysmal ARSA treatment approaches, surgical and hybrid methods are used. There is still no consensus on how to manage these patients. In our study, we recommend the UMS + LMPLT method, since the risk of complications with anatomical bypass is less, and we have more successful surgical results.


Texto completo: Disponible Índice: LILACS (Américas) Tipo de estudio: Estudio diagnóstico Idioma: Inglés Revista: Rev. bras. cir. cardiovasc Asunto de la revista: Cardiología / Cirugía General Año: 2022 Tipo del documento: Artículo País de afiliación: Turquía Institución/País de afiliación: Abdülhamid Han Training and Research Hospital/TR / Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital/TR / Kırklareli Training and Research Hospital/TR

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponible Índice: LILACS (Américas) Tipo de estudio: Estudio diagnóstico Idioma: Inglés Revista: Rev. bras. cir. cardiovasc Asunto de la revista: Cardiología / Cirugía General Año: 2022 Tipo del documento: Artículo País de afiliación: Turquía Institución/País de afiliación: Abdülhamid Han Training and Research Hospital/TR / Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital/TR / Kırklareli Training and Research Hospital/TR