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Surgical and endovascular treatment of thoracic aortic dissection combined with aberrant right subclavian artery aneurysm
Author(s) -
Sun NianFeng,
Tian AiLing,
Xu Li,
Meng QingYi,
Wang RuiHua,
Liu ZhaoXuan
Publication year - 2014
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2012.00635.x
Subject(s) - medicine , dissection (medical) , aortic dissection , lumen (anatomy) , aorta , surgery , perfusion , subclavian artery , aneurysm , radiology , thoracic aorta , cardiology
Aortic dissection combined with aberrant right subclavian artery ( ARSA ) is very rare. The endovascular treatment of aortic dissection is less invasive than conventional open‐heart surgery because of lower surgical risk and faster recovery. In the present work, the origin of ARSA was dilated, and the aorta was also dissected down to the abdominal aorta. The aortic true lumen became narrow, but the visceral arteries had good perfusion. The patient was treated on the entry of dissection with endovascular isolation and adjunctive surgical bypass after controlling blood pressure for 2 weeks.