Chimney Technique for Aortic Dissection Involving an Aberrant Right Subclavian Artery

被引：17
|
作者：
Samura, Makoto [1 ]
Zempo, Nobuya
Ikeda, Yoshitaka
Kaneda, Yoshikazu
Suzuki, Kazuhiro
Tsuboi, Hidetoshi
Hamano, Kimikazu
机构：
[1] Yamaguchi Grand Med Ctr, Dept Surg, Hofu, Yamaguchi 7478511, Japan
来源：
ANNALS OF THORACIC SURGERY | 2014年 / 97卷 / 01期
关键词：
D O I：
10.1016/j.athoracsur.2013.05.094
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case involving a ruptured acute type B aortic dissection originating from an aberrant right subclavian artery (ARSA). A thoracic stent-graft was deployed in the distal arch close to the origin of the ARSA; the entry site at the origin of the ARSA was embolized with metallic coils. Perfusion of the left subclavian artery was preserved without a surgical bypass by using a chimney graft. This procedure is a feasible and less invasive treatment for high-risk sternotomy patients and is an effective strategy for acute aortic dissections involving an ARSA. (C) 2014 by The Society of Thoracic Surgeons
引用
收藏
页码：315 / 317
页数：4
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