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  • Title: Hybrid management of proximal right subclavian artery aneurysms.
    Author: Bruen KJ, Feezor RJ, Lee WA.
    Journal: J Vasc Surg; 2011 Feb; 53(2):528-30. PubMed ID: 20934840.
    Abstract:
    Surgical repair of proximal right subclavian artery aneurysms can be difficult. They typically require a combined mediastinal exposure to control the innominate and right common carotid arteries and a supra- or infraclavicular exposure for distal control, with either a segmental resection and bypass or a bifurcated reconstruction. In this report, we present four cases utilizing a single-stage, hybrid technique combining an endovascular stent graft and an extra-anatomical bypass to repair proximal right subclavian artery aneurysms without the need for mediastinal exposure or extensive surgical reconstruction. There were no deaths and two minor neurologic events.
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