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- Makoto Samura, Nobuya Zempo, Yoshitaka Ikeda, Yoshikazu Kaneda, Kazuhiro Suzuki, Hidetoshi Tsuboi, and Kimikazu Hamano.
- Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan. Electronic address: m.samura@yamaguchi-u.ac.jp.
- Ann. Thorac. Surg. 2014 Jan 1; 97 (1): 315-7.
AbstractWe 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. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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