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Case Reports
. 2010 May 10:5:35.
doi: 10.1186/1749-8090-5-35.

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

Yukio Obitsu  1 , Nobusato Koizumi, Toru Iwahashi, Naozumi Saiki, Hiroshi Shigematsu
Affiliations
Case Reports

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

Yukio Obitsu et al. J Cardiothorac Surg. .

Abstract

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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Figures

Figure 1
Figure 1
Contrast-enhanced CT scan demonstrating the dissecting aneurysm associated with the right aortic arch and left subclavian, common carotid artery from Kommerell's diverticulum.
Figure 2
Figure 2
3D CT scan showing the Kommerell's diveticulum and the anomalous pattern of the arch branches.
Figure 3
Figure 3
Postoperative 3D CT scan indicating successful repair of the total thoracic aorta
See this image and copyright information in PMC

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References

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