Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience

Souad Benallal; Mohamed Nadjib Bouayed; Fabien Koskas

doi:doi:10.11648/j.ijcts.20180406.11

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Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience

Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 4, Issue 6)

Received: 16 August 2018 Accepted: 5 November 2018 Published: 2 March 2019

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Abstract

Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 4, Issue 6)
DOI	10.11648/j.ijcts.20180406.11
Page(s)	43-48
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Arteria Lusoria, Subclavian Artery Retro-Esophageal, Aberrant Subclavian Artery, Kommerell Diverticulum, Aortic Endograft

References

[1]	P. O. Myers et al. / Annales de Cardiologie et d’Angéiologie 59 (2010) 147–154.
[2]	Edwards JE. Vascular rings and slings. In Fetal, Neonatal, and Infant Cardiac disease, Moller JH, Neal WA (eds). Norwalk, CT : Appleton & Lange: 1990; 745-754.
[3]	Van Son JA, Konstantinov IE, Kommerell BF. Kommerell’s diverticulum. Tex Heart Inst J 2002;29 (2): 109–12.
[4]	Epstein DA, Debord JR. Abnormalities associated with aberrant right subclavian arteries – a case report. Vasc Endovascular Surg 2002;36 (4): 297–303.
[5]	PROYE C. A., CARNAILLE B. M., GOROPOULOS A. Non recurrent and recurrent inferior laryngeal nerve: a surgical pitfall in cervical exploration, Am J Surg, 1991, vol. 162, n° 5, 495-496.
[6]	SALOMONOWITZ E., EDWARDS J. E., HUNTER D. W., CASTANEDA-ZUNIGA W. R. et al. The three types of aortic diverticula, AJR Am J Roentgenol, 1984, vol. 142, n° 4, 673-679.
[7]	Freed K, Low VH. The aberrant subclavian artery. Am J Roentgenol 1997; 168 (2): 481–4.
[8]	G S. Oderich, Rochester. Evidence of use of multilayer flow modulator stents in treatment of thoracoabdominal aortic aneurysms and dissections. Journal of Vascular Surgery April 2017.; 65: 935-7- 0741-5214.
[9]	AKERS D. L., JR., FOWL R. J., PLETTNER J., KEMPCZINSKI R. F. Complications of anomalous origin of the right subclavian artery: case report and review of the literature, Ann Vasc Surg, 1991, vol. 5, n° 4, 385-388.
[10]	CHEW F. S., PANICEK D. M., HEITZMAN E. R. Late discovery of a posttraumatic right aortic arch aneurysm, AJR Am J Roentgenol, 1985, vol. 145, n° 5, 1001-1002.
[11]	DE BAKEY M. E., COOLEY D. A., CREECH O., JR. Surgical considerations of dissecting aneurysm of the aorta, Ann Surg, 1955, vol. 142, n° 4, 586-610;discussion, 611-582.
[12]	OTA T., OKADA K., TAKANASHI S., YAMAMOTO S., OKITA Y. Surgical treatment for Kommerell's diverticulum, J Thorac Cardiovasc Surg, 2006, vol. 131, n° 3, 574-578.
[13]	AUSTIN E. H., WOLFE W. G. Aneurysm of aberrant subclavian artery with a review of the literature, J Vasc Surg, 1985, vol. 2, n° 4, 571-577.
[14]	DAVIDIAN M., KEE S. T., KATO N., SEMBA C. P., RAZAVI M. K. et al. Aneurysm of an aberrant right subclavian artery: treatment with PTFE covered stentgraft, J Vasc Surg, 1998, vol. 28, n° 2,335-339.
[15]	FISHER R. G., WHIGHAM C. J., TRINH C. Diverticula of Kommerell and aberrant subclavian arteries complicated by aneurysms, Cardiovasc Intervent Radiol, 2005, vol. 28, n° 5, 553-560.
[16]	Schnarkowski P, Weidenmaier W, Von Gumppenberg R. Ruptured aneurysm of an aberrant right subclavian artery: CT and angiographic findings. Eur J Radiol 1992; 15: 138-9.
[17]	Hoppe H, Hohenwalter EJ, Kaufman JA, Petersen B. Percutaneous treatment of aberrant right subclavian artery aneurysm with use of the Amplatzer septal occluder. J Vasc Interv Radiol 2006;17 (5): 889–94
[18]	Poon FW, Stewart IS. Aneurysm of an aberrant right subclavian artery. Br J Radiol 1988; 61: 249-51.
[19]	G Gautier, ORouvière, ARaudrant, CPangaudet DLyonnet, Anévrismes de l'artère sous clavière droite aberrante : bilan tomodensitométrique, Journal de radiologie, Vol 84, N° 11-C1 - novembre 2003, pp. 1767-1770, Doi : JR-11-2003-84-11-C1-0221-0363-101019-ART9. © 2003 Elsevier Masson SAS.
[20]	J. P. Laissy et al. Imaging of the normal thoracic aorta, variation and congenital anomalies. 32-210. A-10. EMC RADIOLOGY HEART LUNG 2006 Elsevier Masson SAS.
[21]	Marvin E. Morris, Makamson Benjamin, Glenn P. Gardner, W. Kirt Nichols, Rumi Faizer, Columbia, Missouri, USA, Utilisation d’un plug Amplatzer pour traiter une dysphagia lusoria caus_ee par une artere sous-clavi_ere droite aberrante, Ann Vasc Surg 2010; 24: 416.e5-416.e8, DOI: 10.1016/j.acvfr.2010.10.009.
[22]	Attmann T, Brandt M, Muller-Hulsbeck S, Cremer J. Two-stage surgical and endovascular treatment of an aneurysmal aberrant right subclavian (Lusoria) artery. Eur J Cardiothorac Surg 2005; 27 (6): 1125–7.
[23]	E. Kieffer. Artère Sous-clavière Rétro-œsophagienne. Actualités de chirurgie vasculaire: Chirurgie des troncs supra-aortiques 2003.
[24]	Corral JS, Zuniga CG, Sanchez JB, et al. Treatment of aberrant right subclavian artery aneurysm with endovascular exclusion and adjunctive surgical bypass. J Vasc Interv Radiol 2003;14 (6): 789–92.
[25]	Schwein A, Georg Y, Ohana M A, Thaveau F, Chakfe N, et al Title: Treatment of aneurysmal aberrant right subclavian artery with triple-barrel stentgraft, Annals of Vascular Surgery (2015), doi: 10.1016/j.avsg.2014.10.035.
[26]	He H, Yao K, Nie WP, Wang Z, Liang Q, Shu C, Endovascular treatment for acute type B aortic dissection involving a right-sided aortic arch and Kommerell’s diverticulum: A case report and review of the literature, Annals of Vascular Surgery (2015), doi: 10.1016/j.avsg.2014.12.028.
[27]	Tanaka K, Yoshitaka H, Chikazawa G, Sakaguchi T, Totsugawa T, Tamura. Hybrid repair of right aortic arch aneurysm with a Kommerell's diverticulum. Asian Cardiovasc Thorac Ann. 2014 Jul; 22(6): 725-7. doi: 10.1177/0218492313481465. Epub 2013 Sep 4. PMID: 24887812.
[28]	Thèse de Fanette JEANNON, ARTERIA LUSORIA, Etude morpho densitométrique de 150 cas, Applications cliniques, Faculté De Médecine De Nancy, 2011.

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APA Style

Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas. (2019). Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. International Journal of Cardiovascular and Thoracic Surgery, 4(6), 43-48. https://doi.org/10.11648/j.ijcts.20180406.11

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ACS Style

Souad Benallal; Mohamed Nadjib Bouayed; Fabien Koskas. Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. Int. J. Cardiovasc. Thorac. Surg. 2019, 4(6), 43-48. doi: 10.11648/j.ijcts.20180406.11

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AMA Style

Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas. Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. Int J Cardiovasc Thorac Surg. 2019;4(6):43-48. doi: 10.11648/j.ijcts.20180406.11

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@article{10.11648/j.ijcts.20180406.11,
  author = {Souad Benallal and Mohamed Nadjib Bouayed and Fabien Koskas},
  title = {Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {4},
  number = {6},
  pages = {43-48},
  doi = {10.11648/j.ijcts.20180406.11},
  url = {https://doi.org/10.11648/j.ijcts.20180406.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20180406.11},
  abstract = {Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.},
 year = {2019}
}

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TY  - JOUR
T1  - Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience
AU  - Souad Benallal
AU  - Mohamed Nadjib Bouayed
AU  - Fabien Koskas
Y1  - 2019/03/02
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcts.20180406.11
DO  - 10.11648/j.ijcts.20180406.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 43
EP  - 48
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20180406.11
AB  - Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.
VL  - 4
IS  - 6
ER  -

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Author Information

Souad Benallal

Faculty of Medicine, University “Djilali Liabes”, Sidi Bel Abbes, Algeria
Mohamed Nadjib Bouayed

Department of Vascular Surgery, College of Medical Sciences of ORAN, Oran, Algeria
Fabien Koskas

Department of Vascular Surgery, University Hospital "Pitie Salpetrière", Paris, France

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Plain Text BibTeX RIS

APA Style

Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas. (2019). Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. International Journal of Cardiovascular and Thoracic Surgery, 4(6), 43-48. https://doi.org/10.11648/j.ijcts.20180406.11

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ACS Style

Souad Benallal; Mohamed Nadjib Bouayed; Fabien Koskas. Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. Int. J. Cardiovasc. Thorac. Surg. 2019, 4(6), 43-48. doi: 10.11648/j.ijcts.20180406.11

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AMA Style

Souad Benallal, Mohamed Nadjib Bouayed, Fabien Koskas. Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience. Int J Cardiovasc Thorac Surg. 2019;4(6):43-48. doi: 10.11648/j.ijcts.20180406.11

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@article{10.11648/j.ijcts.20180406.11,
  author = {Souad Benallal and Mohamed Nadjib Bouayed and Fabien Koskas},
  title = {Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {4},
  number = {6},
  pages = {43-48},
  doi = {10.11648/j.ijcts.20180406.11},
  url = {https://doi.org/10.11648/j.ijcts.20180406.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20180406.11},
  abstract = {Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Hybrid Treatment of Arteria Lusoria: A Single Center Algerian Experience
AU  - Souad Benallal
AU  - Mohamed Nadjib Bouayed
AU  - Fabien Koskas
Y1  - 2019/03/02
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcts.20180406.11
DO  - 10.11648/j.ijcts.20180406.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 43
EP  - 48
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20180406.11
AB  - Aberrant or retro esophageal subclavian arteries may develop symptoms or complications deserving treatment. Such treatment necessitates revascularization of the involved subclavian artery which may be achieved using cervical transposition or bypass along with repair of the distal aortic arch. The advent of endovascular techniques has eased this latter part of treatment. We herein report three cases treated in our department, all male, whose average age is 54 years with as risk factors: smoking, hypertension and dyslipidemia. The discovery of the aberrant subclavian artery was fortuitous, diagnosed on angioscanner during the dissection aneurysm assessment of the thoracoabdominal aorta in 02 patients and one patient for acute thoracic pain. Our patients benefited from hybrid surgery with thoracic stent placement associated with supra-aortic trunk transposition in one patient and carotid and a carotid to axillary bypasses in the second patient, while the third patient benefited exclusive endovascular treatment by placing a Multilayer Flow Modulator Stent. The postoperative evolution was good in all patients, except for one case is found in the control CT scan a type II endoleak, well tolerated by the patient, which will be taken in a second time for a complementary gesture. Our early experience is encouraging using the hybrid approach among three consecutive cases with aneurysmal or dissecting complications of right aberrant subclavian arteries using cervical transposition or bypass along with endovascular aortic repair.
VL  - 4
IS  - 6
ER  -

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