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Ann Thorac Surg 1994;57:1012-1014
© 1994 The Society of Thoracic Surgeons

Articles

Aberrant right subclavian artery aneurysm: An analysis of surgical options

Lynn H. Harrison, Jr, MD*, Robert C. Batson, MD, David R. Hunter, MD

West Jefferson Medical Center, Marrero, Louisiana, USA

Accepted for publication July 16, 1993.

* Address reprint requests to Dr Harrison, 1111 Medical Center Blvd, Suite 606, Marrero, LA 70072.

During evaluation of a man for claudication, abnormal chest roentgenographic results were found. Computed tomography documented a 6.5-cm aneurysm of an aberrant retroesophageal right subclavian artery. Interruption of the right subclavian artery with an end-to-side subclavian-carotid anastomosis was performed via a right supraclavicular incision, followed immediately by left transthoracic interruption of the origin of the right subclavian artery using a heparin-bonded shunt. This approach avoids previously reported embolic complications while preserving brachial blood flow and providing safe access to the aorta.




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