Traumatic rupture of the aortic isthmus in a patient with an aberrant right subclavian artery: Therapeutic implications Marek Bednarkiewicz, MDa, John.

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Presentation transcript:

Traumatic rupture of the aortic isthmus in a patient with an aberrant right subclavian artery: Therapeutic implications Marek Bednarkiewicz, MDa, John H. Robert, MDa, Gregory Khatchatourian, MDa, Gilles Genin, MDb, François Irmay, MDa, Bernard Faidutti, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 118, Issue 6, Pages 1112-1113 (December 1999) DOI: 10.1016/S0022-5223(99)70109-1 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 A, CT scan of the chest with ARSA (single arrow) in its posterior position and the left subclavian artery (double arrows). B, CT scan of the chest showing the isthmic rupture (arrow). The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1112-1113DOI: (10.1016/S0022-5223(99)70109-1) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 Schematic diagram showing the isthmic tear and the origins of both subclavian arteries. Without cardiopulmonary bypass, placing the proximal clamp on the aorta as shown may lead to brain-stem ischemia, because both vertebral arteries are excluded. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1112-1113DOI: (10.1016/S0022-5223(99)70109-1) Copyright © 1999 Mosby, Inc. Terms and Conditions