Surgical repair for aortic dissection accompanying a

J Cardiothorac Surg · Jan 2010

Case Reports

Surgical repair for aortic dissection accompanying a right-sided aortic arch.

Aortic anomaly in which a right-sided aortic arch associated with Kommerell's diverticulum and aberrant left subclavian artery is rare. The present report describes a patient with type-B aortic dissection accompanying aortic anomalies consisting of right-sided aortic arch and the left common carotid and left subclavian artery arising from Kommerell's diverticulum. As dissecting aortic aneurysm diameter increased rapidly, Single-stage surgical repair of extensive thoracic aorta was performed through median sternotomy and right posterolateral fifth intercostal thoracotomy, yielding favorable results. Our surgical procedures are discussed.

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- Yukio Obitsu, Nobusato Koizumi, Toru Iwahashi, Naozumi Saiki, and Hiroshi Shigematsu.
- Department of Vascular Surgery, Tokyo Medical University 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan 160-0023. obitsu@tokyo-med.ac.jp
- J Cardiothorac Surg. 2010 Jan 1; 5: 35.
AbstractAortic anomaly in which a right-sided aortic arch associated with Kommerell's diverticulum and aberrant left subclavian artery is rare. The present report describes a patient with type-B aortic dissection accompanying aortic anomalies consisting of right-sided aortic arch and the left common carotid and left subclavian artery arising from Kommerell's diverticulum. As dissecting aortic aneurysm diameter increased rapidly, Single-stage surgical repair of extensive thoracic aorta was performed through median sternotomy and right posterolateral fifth intercostal thoracotomy, yielding favorable results. Our surgical procedures are discussed.

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Surgical repair for aortic dissection accompanying a right-sided aortic arch.

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