Abstract
For several years, the newest treatment for entry-site closure in type B aortic dissection has been stent-graft implantation.1-3 However, in the case of entry sites located near the origin of the left subclavian artery, persistent perigraft leakage often results because the stent-graft is not supported by a sufficient uncurved area of aorta to allow complete attachment to the intima of the true lumen. In response, we have applied a transcatheter stent-graft implantation method, which we combine with a bypass between the left carotid and the left subclavian arteries. The following case history presents an application of this approach. NEW OPERATIVE METHOD FOR ACUTE TYPE B DISSECTION: LEFT CAROTID ARTERY–LEFT SUBCLAVIAN ARTERY BYPASS COMBINED WITH ENDOVASCULAR STENT-GRAFT IMPLANTATION
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