naa a22 4500 510728677 CHVBK 20180411082944.0 cr unu---uuuuu 180411e20130501xx s 000 0 eng 10.1007/s11748-012-0138-8 doi (NATIONALLICENCE)springer-10.1007/s11748-012-0138-8 Isolated aneurysm of the proximal right subclavian artery treated with consideration toward cerebral circulation and vasculature [Elektronische Daten] [Michihito Nonaka, Daisuke Nakatsuka, Tatsuji Okada, Yuji Sekine, Atsushi Iwakura, Kazuo Yamanaka] A 65-year-old man with an isolated aneurysm of the proximal right subclavian artery (SCA) (diameter, 50mm) was successfully treated with a deliberate surgical strategy described here. Because of the occluded left vertebral artery (VA) and poor development of the circle of Willis, the distal portion of the right SCA was bypassed from the ascending aorta before resecting the aneurysm in order to maintain blood flow to the brain through the right VA. Consequently, the patient recovered without neurological complications. We conclude that conventional surgery remains effective for complex vascular diseases even in the era of advanced endovascular surgeries. The Japanese Association for Thoracic Surgery, 2012 Aneurysm nationallicence Subclavian artery nationallicence Cerebral circulation nationallicence Vertebral artery nationallicence Surgical strategy nationallicence Nonaka Michihito Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut Nakatsuka Daisuke Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut Okada Tatsuji Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut Sekine Yuji Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut Iwakura Atsushi Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut Yamanaka Kazuo Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/5(2013-05-01), 292-295 1863-6705 61:5<292 2013 61 11748 https://doi.org/10.1007/s11748-012-0138-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-012-0138-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nonaka Michihito Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut NATIONALLICENCE 700 1- Nakatsuka Daisuke Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut NATIONALLICENCE 700 1- Okada Tatsuji Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut NATIONALLICENCE 700 1- Sekine Yuji Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut NATIONALLICENCE 700 1- Iwakura Atsushi Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut NATIONALLICENCE 700 1- Yamanaka Kazuo Department of Cardiovascular Surgery, Tenri Hospital, 200, Mishima-cho, 632-8552, Tenri, Nara, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/5(2013-05-01), 292-295 1863-6705 61:5<292 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer