Abstract
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.
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Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Aneurysm / complications*
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Aneurysm / diagnostic imaging
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / surgery*
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Aortography / methods
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Blood Vessel Prosthesis Implantation / methods*
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Cardiovascular Abnormalities / complications*
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Cardiovascular Abnormalities / diagnostic imaging
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Deglutition Disorders / complications*
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Deglutition Disorders / diagnostic imaging
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Female
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Follow-Up Studies
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Humans
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Imaging, Three-Dimensional*
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Risk Assessment
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Severity of Illness Index
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Stents
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Subclavian Artery / abnormalities*
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Subclavian Artery / diagnostic imaging
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Treatment Outcome
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Vascular Surgical Procedures / methods
Supplementary concepts
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Aberrant subclavian artery