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The Journal of Cardiovascular Surgery 1999 February;40(1):121-5

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Surgery of the dissecting aneurysm involving a right aortic arch

Minato N., Rikitake K., Murayama J., Ohnishi H., Takarabe K.

From the Department of Thoracic and Cardiovascular Surgery Fukuoka Tokushukai Hospital, Fukuoka, Japan


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A dis­secting aneu­rysm in asso­ci­a­tion ­with a ­right ­aortic ­arch is ­extremely ­rare. How­ever, a 50-­year-old ­male was diag­nosed as ­having a dis­secting aneu­rysm (­DeBakey ­IIIa) ­with a ­right ­aortic ­arch, ­right ­descending ­aorta and an aber­rant ­retro-esoph­a­geal ­left sub­cla­vian ­artery. A ­graft replace­ment of the ­right ­descending ­aorta was suc­cess­fully per­formed ­under ­right thor­a­cotomy and par­tial car­di­o­pul­mo­nary ­bypass. Pre­cise ana­tom­ical def­i­ni­tion and ­proper sur­gical pro­ce­dure per­mitted a suc­cessful sur­gical ­result.

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