scholarly journals Complicated acute type B aortic dissection with involvement of an aberrant right subclavian artery and rupture of a thoracoabdominal aortic aneurysm, Crawford type I: Successful emergency endovascular treatment

2007 ◽  
Vol 134 (4) ◽  
pp. 1055-1057 ◽  
Author(s):  
Victor X. Mosquera ◽  
Milagros Marini ◽  
Fernando Rodríguez ◽  
Ignacio Cao ◽  
Alberto Juffé
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Dissection ◽  
Endovascular Treatment ◽  
Subclavian Artery ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aberrant Right Subclavian Artery ◽  
Type I ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

Endovascular Aortic Repair With Castor Single-Branched Stent-Graft in Treatment of Acute Type B Aortic Syndrome and Aberrant Right Subclavian Artery

2021 ◽  
pp. 153857442110056
Author(s):  
Xinyan Pang ◽  
Shi Qiu ◽  
Chen Wang ◽  
Kai Liu ◽  
Xin Zhao ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Subclavian Artery ◽  
False Lumen ◽  
Endovascular Aortic Repair ◽  
Aberrant Right Subclavian Artery ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Aortic Repair

Objective: In this retrospective study, we presented the results of Castor single-branched stent-graft in a small series of patients with acute type B aortic syndrome and aberrant right subclavian artery (ARSA). Methods: Between January 2019 and November 2019, 5 patients were diagnosed with acute type B aortic syndrome and ARSA (4 patients with intramural hematoma and ARSA, 1 patient with type B aortic dissection and ARSA). All the patients underwent thoracic endovascular aortic repair (TEVAR) using Castor single-branched stent-graft. In-hospital and 3-month outcomes were collected. Results: The mean operative time was 116 ± 20.43 minutes (range 90-145). All the TEVAR procedures were successfully performed without conversion to open surgery (100% success rate). All the ARSAs of the 5 patients were revascularized in situ by Castor single-branched stent-grafts. No deaths and complications were observed in the 3-month follow-up. The maximal diameters of diseased aortas in the 4 patients with IMH decreased 3 months after TEVAR. The false lumen in the graft-covered segment was completely thrombosed in the patient with type B aortic dissection. Conclusions: Castor single-branched stent-graft may be a good choice in treatment of acute type B aortic syndrome and aberrant right subclavian artery.

scholarly journals Five-Year Results of STABLE II Study for Endovascular Treatment of Complicated, Acute Type B Aortic Dissection With a Composite Device Design

2021 ◽  
Vol 74 (3) ◽  
pp. e89
Author(s):  
Joseph V. Lombardi ◽  
Thomas Gleason ◽  
Jean M. Panneton ◽  
Ben Starnes ◽  
Michael D. Dake ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Treatment ◽  
Acute Type ◽  
Type B ◽  
Device Design ◽  
Type B Aortic Dissection

scholarly journals Aberrant Right Subclavian Artery and Stanford Type B Aortic Dissection

2020 ◽  
Vol 8 (8) ◽  
pp. 247-249
Author(s):  
Yuvraj Chowdhury ◽  
Shakil A. Shaikh ◽  
Ali Salman ◽  
Jonathan D. Marmur ◽  
Isabel. M. McFarlane
Keyword(s):  
Aortic Dissection ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Stanford Type B

scholarly journals Repair of a type B aortic dissection with a re-vascularization of the aberrant right subclavian artery in an adult patient

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mahmoud Yousef Ibrahim Abuharb ◽  
Bian Xiao Ming ◽  
He Jian
Keyword(s):  
Aortic Dissection ◽  
Subclavian Artery ◽  
Incidental Finding ◽  
Aberrant Right Subclavian Artery ◽  
Uneventful Recovery ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Case Presentation ◽  
Therapeutic Implications ◽  
Aortic Branch

Abstract Background An aberrant right subclavian artery which arises from the proximal descending aorta may result in aortic dissection. The dissection may occur at either the site of the primary intimal tear or from an aortic branch. These conditions may lead to blood flow limitation and possible aneurysmal degeneration in the future. Case presentation We described the clinical presentation and management of a 54-year old patient diagnosed with a rare case of an aberrant right subclavian artery with Stanford Type B aortic dissection. A hybrid surgical approach was successfully performed and the patient had an uneventful recovery. Conclusion Even though aortic dissection is often an incidental finding, this case highlighted that in rare situations, it can be associated with an aberrant right subclavian artery. It is important to disseminate this association as it has profound diagnostic and therapeutic implications in safeguarding the clinical outcomes of patients with such condition.

scholarly journals Treatment with Aortic Stent Graft Placement for Stanford B-Type Aortic Dissection in a Patient with an Aberrant Right Subclavian Artery

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Yohei Kawatani ◽  
Yujiro Hayashi ◽  
Yujiro Ito ◽  
Hirotsugu Kurobe ◽  
Yoshitsugu Nakamura ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Subclavian Artery ◽  
Distal Portion ◽  
Aberrant Right Subclavian Artery ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Aortic Stent Graft ◽  
The Right ◽  
Stanford Type B

A 71-year-old man visited our hospital with the chief complaint of back pain and was diagnosed with acute aortic dissection (Debakey type III, Stanford type B). He was found to have a variant branching pattern in which the right subclavian artery was the fourth branch of the aorta. We performed conservative management for uncomplicated Stanford type B aortic dissection, and the patient was discharged. An ulcer-like projection (ULP) was discovered during outpatient follow-up. Complicated type B aortic dissection was suspected, and we performed thoracic endovascular aortic repair (TEVAR). The aim of operative treatment was ULP closure; thus we placed two stent grafts in the descending aorta from the distal portion of the right subclavian artery. The patient was released without complications on postoperative day 5. Deliberate sizing and examination of placement location were necessary when placing the stent graft, but operative techniques allowed the procedure to be safely completed.

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