title: Open triple-branched stent graft applied to patient of acute type A aortic dissection with aberrant right subclavian artery.
abstract: A 57-year-old Chinese male patient presented with Standford type A aortic dissection with an aberrant right subclavian artery (ARSA). At operation, the ascending aorta was replaced by a mono-branch vascular prosthesis with the branch bypassing to the ARSA; the triple-branched stent graft was inserted into the true lumen of the arch and proximal descending aorta (covering the origin of the ARSA) with each sidearm graft being positioned into the aortic branches; and then its proximal end was sutured to mono-branched vascular prosthesis. Follow-up computed tomography angiography showed false lumen of the dissection disappeared with satisfactory position of the triple-branched stent graft.
authors.affiliation: Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, No, 180, Fenglin Road, Xuhui District, Shanghai 200032, P R China.
authors.forename: Changfa
authors.initials: C
authors.lastname: Guo
authors.forename: Kai
authors.initials: K
authors.lastname: Zhu
authors.forename: Demin
authors.initials: D
authors.lastname: Xu
authors.forename: Chunsheng
authors.initials: C
authors.lastname: Wang
mesh_terms: D000783:Aneurysm / Q000601:surgery; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D001011:Aorta / Q000473:pathology / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D018376:Cardiovascular Abnormalities / Q000601:surgery; D003680:Deglutition Disorders / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery; D014057:Tomography, X-Ray Computed