[Successfully combined management of the abberant retroesophageal arteria subcalvia dextra XXXX (arteria lusoria)].

@entity1 @entity154 @entity449 @entity384 @entity5216 @entity397 @entity439 @entity6127 @entity8529
INTRODUCTION: @entity5216 arising from the distal part of the aortic arch and passing behind the oesophagus (arteria lusoria) is a rare @entity154 , it is the 4th most common @entity6127 . At the site of the orifice there is the @entity8529 , which is the locus minoris resistentiae with the possible arise of the @entity449 . @entity384 of the anomalous artery and of the aorta may be the cause of distal embolism or @entity397 . Less frequently there is also the possibility of aortic dissection or @entity397 . CASE REPORT: 54-old @entity1 with a symptomatic aberrant @entity384 (arteria lusoria) and an anerurysmatic dilatation of the @entity8529 was indicated to staged combined management. Firstly we performed open surgical debranching of two supraaortic trunks (both subclavian arteries). Thereafter we excluded the orifice of the aberrant artery with the @entity8529 by use of the endovascular techniques. There have been no complications during the perioperative period and the effect of surgery was optimal. DISCUSSION: It is generally accepted that the presence of @entity439 of the @entity5216 is an indication for surgery, whether symptomatic or not. The conventional surgery is usually staged. Firstly there is a carotid-subclavian bypass or transposition on the right side and thereafter a transthoracic resection of the @entity8529 and aortic angioplasty. The combined management with supraaortic revascularization followed with the stentgraft exclusion of the @entity439 is a sophisticated alternative. CONCLUSION: Experiences with the combined treatment published in the literature and ours are excellent, this technique is miniinvasive with a low complication rate. In our opinion it is the management of choice.
