title: Hybrid repair of ruptured type B aortic dissection extending into an aberrant right subclavian artery in a patient with Turner's syndrome.
abstract: Turner's syndrome (TS) has been documented as the most common cause of aortic dissection in young women. However, little attention from vascular surgery has been paid to these patients. We report the first case of ruptured type B aortic dissection with aberrant right subclavian artery treated successfully with hybrid endovascular and open procedures in a patient with TS. Left carotid to subclavian artery bypass, thoracic endovascular aortic repair, and coil embolization of the aberrant right subclavian and left subclavian arteries were performed in an emergency setting. Literature on epidemiology, causes, and management options of acute aortic dissection in TS patients are reviewed and discussed.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA.
authors.forename: Alireza
authors.initials: A
authors.lastname: Hamidian-Jahromi
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Carroll
authors.forename: Linda D
authors.initials: LD
authors.lastname: Doucet
authors.forename: Wayne W
authors.initials: WW
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003680:Deglutition Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D013348:Subclavian Artery / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014424:Turner Syndrome / Q000150:complications*