CASE REPORTS  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1999 February;40(1):117-9

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Type A aortic dissection involving a right-sided aortic arch

Moizumi Y., Komatsu T., Nagaya K., Sawamura Y., Sakurai M., Tabayashi K.

From the Division of Thoracic and Cardiovascular Surgery Sendai City Medical Center and Tohoku University School of Medicine, Sendai, Japan

We ­report a ­rare ­case of a 39-­year-old man ­with ­type A ­aortic dis­sec­tion ­involving a ­right-­sided ­aortic ­arch ­with the ­symptom of vas­cular ­ring. Com­puted tomog­raphy scan­ning and angio­graphy ­were per­formed to ­define the ­extent of the dis­sec­tion and the ­anatomy of the ­branching ves­sels. The ­ascending ­aorta was ­replaced ­through a ­median ster­notomy and ­right thor­a­cotomy ­using a hypo­thermic car­di­o­pul­mo­nary ­bypass asso­ciated ­with selec­tive cere­bral per­fu­sion and par­tial cir­cu­la­tory ­arrest, and his ­symptom of vas­cular ­ring dis­ap­peared post­op­er­a­tively.