Surgical treatment for thoracic aortic aneurysm with aberrant right subclavian artery.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
Yuji NaritaYuichi Ueda

Abstract

We present two operative cases of thoracic aortic aneurysm combined with aberrant right subclavian artery (ARSA). Case 1 was a 71-year-old man with a fusiform-type arch aneurysm. He underwent total aortic arch replacement to reconstruct all 4 arch branches. Case 2 was a 39-year-old man suffering from chronic DeBakey type IIIb dissection. He underwent total descending thoracic aortic replacement for the remaining ARSA. In both cases ARSA was diagnosed preoperatively by reconstructed three-dimensional computed tomography (3D-CT). Both patients followed uneventful postoperative courses with excellent results. 3D-CT is helpful for precise planning of surgical strategy in such cases.

References

Sep 1, 1994·Journal of Cardiac Surgery·S TakamotoY Kawashima
Jan 1, 1994·Journal of Vascular Surgery·E KiefferF Koskas

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Citations

Jul 9, 2014·Archivos de cardiología de México·Roberto Mijangos-VázquezMaría Elena Soto-López
Jan 21, 2014·Journal of Cardiac Surgery·Michal LeskoJan Vojacek

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