Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2017 , Vol 26 , Issue 3
Endovascular management of traumatic rupture of aberrant right subclavian artery
Tünay Kurtoğlu1, Selim Durmaz1, Burak Çildağ2, Ömer Faruk Kutsi Köseoğlu2, Berent Dişcigil1
1Adnan Menderes Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Aydın, Türkiye
2Adnan Menderes Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Aydın, Türkiye
DOI : 10.9739/uvcd.2015-44847 Acute bleeding from intrathoracic or mediastinal arteries due to blunt thoracic trauma is a life-threatening condition. Although rare, individuals with an abnormal vascular anatomy can be encountered among patients suffering from a traumatic vascular injury. Aberrant right subclavian artery (ARSA) is the most common congenital anomaly of the aortic arch. A 51-year-old male patient was referred to our hospital following a motorcycle accident. The patient had a ruptured ARSA and mediastinal hematoma. Due to concomitant intracranial hemorrhage, open surgery was considered to have a high risk. Therefore, we decided to treat the patient with endovascular intervention, and successfully repaired the ruptured segment by stent-graft implantation. Aberrant right subclavian artery inherently courses a long distance and it is vulnerable to damage in case of a thoracic trauma. We suggest that endovascular interventions and hybrid procedures may be primarily preferred in traumatic ARSA injuries, and they constitute an alternative to open surgery. Keywords : Abberant subclavian artery; endovascular procedure; multiple trauma