Chimney technique for aortic dissection involving an aberrant right subclavian artery.

Samura, Makoto; Zempo, Nobuya; Ikeda, Yoshitaka; Kaneda, Yoshikazu; Suzuki, Kazuhiro; Tsuboi, Hidetoshi; Hamano, Kimikazu · Ann Thorac Surg · 2014

case_report · Level V

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Abstract

We 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.

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