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General Thoracic and Cardiovascular Surgery

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01-05-2013 | Case Report

Isolated aneurysm of the proximal right subclavian artery treated with consideration toward cerebral circulation and vasculature

Authors: Michihito Nonaka, Daisuke Nakatsuka, Tatsuji Okada, Yuji Sekine, Atsushi Iwakura, Kazuo Yamanaka

Published in: General Thoracic and Cardiovascular Surgery | Issue 5/2013

Abstract

A 65-year-old man with an isolated aneurysm of the proximal right subclavian artery (SCA) (diameter, 50 mm) was successfully treated with a deliberate surgical strategy described here. Because of the occluded left vertebral artery (VA) and poor development of the circle of Willis, the distal portion of the right SCA was bypassed from the ascending aorta before resecting the aneurysm in order to maintain blood flow to the brain through the right VA. Consequently, the patient recovered without neurological complications. We conclude that conventional surgery remains effective for complex vascular diseases even in the era of advanced endovascular surgeries.

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Title: Isolated aneurysm of the proximal right subclavian artery treated with consideration toward cerebral circulation and vasculature
Authors: Michihito Nonaka
Daisuke Nakatsuka
Tatsuji Okada
Yuji Sekine
Atsushi Iwakura
Kazuo Yamanaka
Publication date: 01-05-2013
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 5/2013
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-012-0138-8

At a glance: The STEP trials

Springer Medicine

Isolated aneurysm of the proximal right subclavian artery treated with consideration toward cerebral circulation and vasculature

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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