Emerging technology with endovascular techniques has expanded our armamentarium to treat the aberrant right subclavian artery. We describe a hybrid technique using an Amplatzer plug in combination with a carotid subclavian bypass to treat a patient with dysphagia lusoria.

Superior mediastinum contains many important vessels and tubes, variation of one may affect the other. Left brachiocephalic vein crosses arch of the aorta and its branches superficially. Arch of the aorta from its convex superior aspect usually provides brachiocephalic, left common carotid and left subclavian artery from the right to left. Left subclavian artery continues as axillary artery and...

Since Reivich et al. (1961) drew attention to the reversal of flow in a vertebral artery resulting from obstruction of the origin of the ipsilateral subclavian artery, many cases of the so-called "subclaviansteal" syndrome have been reported. In most of these cases the obstruction has been caused by arteriosclerosis or an arteritis. Massumi (1963) reported the case of a boy of 6 years who had t...

Postero-anterior chest roentgenograms in 17 of 20 patients with coarctation of the aorta showed widening of the left upper mediastinal shadow attributed to dilatation of the left subclavian artery; pulsations of this vessel were evident in 12 of 13 cases with roentgenkymograms. In 3 of the latter cases rib notching was absent or equivocal. The subclavian pulsations may be observed fluoroscopica...

Axillo-axillary bypass grafting is considered the operation of choice for patients with subclavian steal syndrome. Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges. Presently described is case of chronic obstructive lung disease and coronary artery disease in a 52-year-old man who required axillo-axillary bypass surgery...

Figure 1 Branches of the aortic arc. A 30 year old woman presented with a three week history of symmetrical jaw claudication and episodes of pain in the left arm with a blue discolouration and loss of strength. Two years previously she was given a tentative diagnosis of Takayasu's disease after multiple large arterial vascular problems and severe general malaise. No immunosuppressive treatment ...

PURPOSE The present study was performed to compile normative data for dimensions of the left subclavian artery at varying gestational age. MATERIAL AND METHODS Using anatomical dissection, digital image analysis (Leica Q Win Pro 16 system) and statistical analysis (ANOVA, regression analysis) a range of measurements (length, original external diameter, volume) for the left subclavian artery i...

A 32 years male labourer with a past history of blunt trauma 2 years before suffered at work presented with the complaint of pain and swelling in the upper part of the chest rapidly expanding of 4 months duration along with the complaint of pain and absent pulse noted by his GP in the left hand of about 7-8 months and evidence of skin excoriation over the forearm. His x-ray showed a left sided ...