During evaluation of a man for claudication, abnormal chest roentgenographic results were found. Computed tomography documented a 6.5-cm aneurysm of an aberrant retroesophageal right subclavian artery. Interruption of the right subclavian artery with an end-to-side subclavian-carotid anastomosis was performed via a right supraclavicular incision, followed immediately by left transthoracic interruption of the origin of the right subclavian artery using a heparin-bonded shunt. This approach avoids previously reported embolic complications while preserving brachial blood flow and providing safe access to the aorta. © 1994.
Harrison, L. H., Batson, R. C., & Hunter, D. R. (1994). Aberrant right subclavian artery aneurysm: An analysis of surgical options. The Annals of Thoracic Surgery, 57(4), 1012–1014. https://doi.org/10.1016/0003-4975(94)90225-9