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Case Reports

Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery

^a The Texas Heart Institute at St. Luke’s Episcopal Hospital, and Division of Vascular and Endovascular Surgery, Baylor College of Medicine, Houston, Texas
^b Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, Texas
^c Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

Accepted for publication September 17, 2007.

^_* Address correspondence to Dr LeMaire, Baylor College of Medicine, One Baylor Plaza, BCM 390, Houston, TX 77030 (Email: slemaire{at}bcm.edu).

Aneurysms involving a right-sided aortic arch and a right-sided descending thoracic aorta with an aberrant origin of the left subclavian artery are rare. We describe the successful surgical repair of this vascular anomaly by the combined use of a left carotid to subclavian artery bypass followed by endovascular stent-graft placement to exclude the aortic aneurysm. We also review the literature associated with this particular anatomic presentation.

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