医学
主动脉弓
主动脉夹层
外科
胸骨正中切开术
主动脉
支架
胸痛
降主动脉
解剖(医学)
放射科
锁骨下动脉
心脏病学
作者
Maoxun Huang,Hulin Piao,Bo Li,Yong Wang,Tiance Wang,Zhicheng Zhu,Dan Li,Kexiang Liu
出处
期刊:Medicine
[Ovid Technologies (Wolters Kluwer)]
日期:2019-03-01
卷期号:98 (11): e14727-e14727
被引量:5
标识
DOI:10.1097/md.0000000000014727
摘要
An aberrant right subclavian artery (ARSA), arising from the proximal descending aorta, is a common aortic arch anomaly, with an incidence of 0.5% to 2%. However, coexistence of dissection and an ARSA is extremely rare. We presented the first case of successful management of complicated Stanford B-type aortic dissection combined with an ARSA with a new inclusion technique and stent graft (SG) implantation through an upper partial sternotomy.A 39-year-old woman with a history of severe hypertension was admitted to our hospital because of sudden-onset chest and upper back pain.Aortic computed tomography angiography (CTA) demonstrated complicated Stanford B-type dissection with ARSA.A new inclusion technique and SG implantation through an upper partial sternotomy were performed for the patient, whose aortic arch branch vessels, including ARSA, were fully preserved.The patient had an uneventful postoperative course without neurologic deficits, and no blood transfusion was required during the hospitalization. The false lumen completely disappeared on postoperative CTA.This new inclusion technique through an upper partial sternotomy is a safe and feasible treatment for complicated Stanford B-type aortic dissection with an ARSA with the primary tear located in the aortic arch.
科研通智能强力驱动
Strongly Powered by AbleSci AI