Chimney technique for aortic dissection involving an aberrant right subclavian artery

Ann Thorac Surg. 2014 Jan;97(1):315-7. doi: 10.1016/j.athoracsur.2013.05.094.

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.

Keywords: 26.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm / complications*
  • Aneurysm / diagnostic imaging
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / methods*
  • Cardiovascular Abnormalities / complications*
  • Cardiovascular Abnormalities / diagnostic imaging
  • Deglutition Disorders / complications*
  • Deglutition Disorders / diagnostic imaging
  • Female
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional*
  • Risk Assessment
  • Severity of Illness Index
  • Stents
  • Subclavian Artery / abnormalities*
  • Subclavian Artery / diagnostic imaging
  • Treatment Outcome
  • Vascular Surgical Procedures / methods

Supplementary concepts

  • Aberrant subclavian artery