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William S. Stoney
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Clarence S. Thomas, Jr.
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Ann Thorac Surg 1975;19:460-467
© 1975 The Society of Thoracic Surgeons

Articles

Aberrant Right Subclavian Artery Aneurysm

William S. Stoney, M.D.*, William C. Alford, Jr., M.D., George R. Burrus, M.D., Clarence S. Thomas, Jr., M.D.

From the Cardiac Surgical Service, St. Thomas Hospital, Nashville, Tenn.

Accepted for publication September 18, 1974.

* Address reprint requests to Dr. Stoney, 2108 West End Ave., Nashville, Tenn. 37203.

Ten patients with aneurysm of an aberrant right subclavian artery have been previously reported. Dysphagia is not commonly part of the initial symptomatology, and the diagnosis is usually established by chest roentgenogram, esophagogram, and aortography. If operative intervention is planned, adequate preparation for bypass and thoracic aortic grafting should be made since the aneurysm may also involve the descending thoracic aorta at the site of origin of the aberrant subclavian artery.

Since both ischemia of the involved arm and the subclavian steal syndrome may occur after division of the origin of the subclavian artery, restoration of arterial flow in the distal subclavian artery is preferred. An additional patient is reported in whom right subclavian-to-carotid artery anastomosis was used after the subclavian artery aneurysm was removed.




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