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Right arm ischemia following intentional stent-graft coverage of an anomalous right subclavian artery.
Authors:Matthew Waltham  Ves Agrawal  Leigh Bowman  Clifford Hughes  Geoffrey H White
Affiliation:Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Abstract:PURPOSE: To report thoracic aortic stent-graft repair in a patient with abnormal aortic arch anatomy. CASE REPORT: An anomalous right subclavian artery was covered with a stent-graft in a 38-year-old woman being treated for a false aneurysm after coarctation repair. The right arm became relatively ischemic, but was viable and managed conservatively. CONCLUSIONS: Aneurysms close to left or aberrant right subclavian arteries can be safely and effectively treated by endoluminal repair without the need for revascularization procedures; ischemic symptoms that develop are often mild and transient.
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