title: Chimney technique for aortic dissection involving an aberrant right subclavian artery.
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.
authors.affiliation: Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan. Electronic address: m.samura@yamaguchi-u.ac.jp.
authors.forename: Makoto
authors.initials: M
authors.lastname: Samura
authors.affiliation: Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
authors.forename: Nobuya
authors.initials: N
authors.lastname: Zempo
authors.affiliation: Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Ikeda
authors.affiliation: Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kaneda
authors.affiliation: Department of Cardiovascular Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Suzuki
authors.affiliation: Department of Cardiovascular Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Tsuboi
authors.affiliation: Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000000981:diagnostic imaging; D003680:Deglutition Disorders / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: 26