Close
Close

Aberrant subclavian artery

[Experience of Sun's procedure for chronic type B dissection with aortic arch involvement].
Related Articles

[Experience of Sun's procedure for chronic type B dissection with aortic arch involvement].

Zhonghua Yi Xue Za Zhi. 2017 Jun 27;97(24):1867-1870

Authors: Qi RD, Zhu JM, Chen L, Li CN, Qiao ZY, Cheng LJ, Ge YP, Hu HO, Xia Y, Xing XY, Zheng T, Liu YM, Sun LZ

Abstract
Objective: To study the surgical treatment of chronic type B dissection with aortic arch involvement using Sun's procedure. Methods: Between February 2009 and December 2015, 29 patients [20 males, 9 females, with a mean age of (41±12) years, range 24-64 years] with type B dissection with aortic arch involvement underwent Sun's procedure. Sixteen patient had a history of hypertension. Marfan syndrome was observed in 9 cases, coronary artery disease in 3 cases, mitral regurgitation in 3 patients, cerebrovascular disease in one patient. Twenty-two patients suffered proximal aortic arch disease, 4 cases experienced history of aortic root procedure and 2 subjects had history of pregnancy. Four patients had aortic arch malformation. Results: One case suffered from massive cerebral infarction after surgery and died in another hospital. Concomitant procedures included mitral valve replacement in 3 cases, coronary artery bypass grafting in 3 patients, reconstruction of the right aberrant subclavian artery in one patient. Ventilator support exceeding 24 hours obseved in 2 patients. One of them recieved continuous renal replacement therapy and recovered before discharge. Spinal cord injury was obseved in one case, brain infarction in one patient and pericardial drainage in one case. Two patients required tracheotomy. During 12-94 (43±23) months' follow-up, thoracoabdominal aortic replacment was performed in 4 patients, thoracic endovascular aortic repair (TEVAR) in 2 subjects and repair of perivalvular leakage in one patient. Conclusions: Sun's procedure obtained satisfactory results in patients with chronic type B dissection with aortic arch involvement. Concomitant repair of proximal aortic arch lesions and distal type B dissection can be adopted using Sun's procedure.

PMID: 28648010 [PubMed - in process]

Videos
by Abidemi Uruejoma
8 views
by Abidemi Uruejoma
14 views
by Abidemi Uruejoma
45 views
by Abidemi Uruejoma
45 views
Latest Research