Aneurysm of an Aberrant Right Subclavian Artery: Case Report and Review of the Literature PAUL D. KIERNAN, M.D., JOSEPH DEARANI, M.D., WILLIAM D. BYRNE, M.D., THOMAS EHRLICH, M.D., WILLIAM CARTER, M.D., GARY KRASICKY, M.D., WILLIAM HARSHAW, M.D. Mayo Clinic Proceedings Volume 68, Issue 5, Pages 468-474 (May 1993) DOI: 10.1016/S0025-6196(12)60196-7 Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions
Fig. 1 Diagram (superior view) of left aortic arch and anomalous right subclavian artery. (Redrawn from Grant.9) Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions
Fig. 2 Chest roentgenograms of 54-year-old man obtained some years before development of aneurysm of aberrant right subclavian artery (A) and at time of diagnosis (B). Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions
Fig. 3 A and B, Computed tomograms of chest of 54-year-old man, showing origin of aneurysm of aberrant right subclavian artery arising from descending thoracic aorta. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions
Fig. 4 Aortogram of 54-year-old man, illustrating aneurysm of aberrant right subclavian artery emanating from a Kommerell diverticulum off descending thoracic aorta, without visualization of ipsilateral vertebral artery. Normal caliber of right subclavian artery is shown distally. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions
Fig. 5 Diagram depicting method of cross-clamping by using partial occlusion clamp across origin of Kommerell's diverticulum off descending thoracic aorta and cross-clamping of right subclavian artery through second intercostal space. Insert depicts thrombus retrieved from aneurysm. a. = artery; v. = vein. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions
Fig. 6 Diagram depicting Dacron graft reconstruction of descending aorta to right subclavian artery. Kommerell's diverticulum is oversewn with pledgets. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions