title: Hybrid procedure for acute stanford type a aortic dissection with aberrant right subclavian artery.
abstract: Aberrant right subclavian artery (ARSA) is an uncommon congenital vascular abnormality. Acute Stanford type A aortic dissection with ARSA is rare. We report a strategy for Stanford type A aortic dissection with ARSA. The ascending aorta and the total aortic arch were replaced and a frozen elephant trunk was implanted into the descending aorta. The right subclavian artery was reconstructed with the perfusion branch of a four-branch prosthetic graft. Two weeks later, the proximal part of the ARSA was sealed with a vascular plug.
authors.affiliation: Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing, China.
authors.forename: Changwei
authors.initials: C
authors.lastname: Ren
authors.forename: Lizhong
authors.initials: L
authors.lastname: Sun
authors.forename: Lianjun
authors.initials: L
authors.lastname: Huang
authors.forename: Yongqiang
authors.initials: Y
authors.lastname: Lai
authors.forename: Sheng
authors.initials: S
authors.lastname: Yang
authors.forename: Shangdong
authors.initials: S
authors.lastname: Xu
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods