Endovascular Repair with the Chimney Technique for Stanford Type B Aortic Dissection Involving Right-Sided Arch with Aberrant Left Subclavian Artery

A 68-year-old man, having right-sided aortic arch (RAA), underwent thoracic endovascular aortic repair (TEVAR) to treat Stanford B type dissection with the chimney technique to extend the proximal landing zone between his right subclavian artery and left subclavian artery (LSA). Six-month follow-up showed that there was sufficient cerebral infusion and positive aortic remodeling, and the chimney stents were patent. The results show the safety and effectiveness of chimney TEVAR for Stanford type B dissection in patients having RAA with an aberrant LSA who have no sufficient proximal fixation zone. A 68-year-old man, having right-sided aortic arch (RAA), underwent thoracic endovascular aortic repair (TEVAR) to treat Stanford B type dissection with the chimney technique to extend the proximal landing zone between his right subclavian artery and left subclavian artery (LSA). Six-month follow-up showed that there was sufficient cerebral infusion and positive aortic remodeling, and the chimney stents were patent. The results show the safety and effectiveness of chimney TEVAR for Stanford type B dissection in patients having RAA with an aberrant LSA who have no sufficient proximal fixation zone.