Fumio Yamana*, Tomohiko Sakamoto, Ryo Kawasumi, Yukitoshi Shirakawa and Takafumi Masai
Department of Cardiovascular Surgery, Osaka Police Hospital, Osaka City, JapanFulltext PDF
he coexistence of type B aortic dissection and aberrant right subclavian artery is extremely rare. We report a case of a 71-year-old man who underwent hybrid open and endovascular therapy for dissecting a thoracic aortic aneurysm with an aberrant right subclavian artery. Extra-anatomic bypass and thoracic endovascular aneurysm repair were performed. Postoperative enhanced computed tomography and angiography showed type 1a endoleak into the aneurysm. We performed additional total debranching and thoracic endovascular aneurysm repair. The procedures were successful with complete aneurysm exclusion. For complex aortic arch disease, hybrid procedures may reduce perioperative complications in contrast to conventional open approaches
Yamana F, Sakamoto T, Kawasumi R, Shirakawa Y, Masai T. Hybrid Repair of Type B Aortic Dissection with Aberrant Right Subclavian Artery. World J Surg Surgical Res. 2021; 4: 1337..