Total arch replacement for a distal arch aneurysm with aberrant right subclavian artery.

General Thoracic and Cardiovascular Surgery
Masato TochiiKiyotoshi Akita

Abstract

Aberrant right subclavian artery is a rare condition with a prevalence of 0.5%-2.0% of the population. We report a case of distal aortic arch aneurysm with right subclavian artery. A 75-year-old man who was asymptomatic was referred to our hospital for a thoracic aortic aneurysm. Computed tomography showed a 55-mm fusiform aneurysm of the distal arch and an aberrant right subclavian artery. Total arch replacement was performed via median sternotomy with antegrade selective cerebral perfusion and hypothermic circulatory arrest. We reconstructed the aberrant right subclavian artery in the normal position to avoid compression of the esophagus and trachea caused by future aneurysmal dilatation of the orifice of the aberrant right subclavian artery and potential high risk for rupture.

References

Jul 1, 1985·Journal of Vascular Surgery·E H Austin, W G Wolfe
Jan 1, 1994·Journal of Vascular Surgery·E KiefferF Koskas
Feb 1, 1997·AJR. American Journal of Roentgenology·K Freed, V H Low
May 24, 2003·Journal of Vascular Surgery·Patricio RosaBenjamin Starnes
Mar 28, 2006·The Annals of Thoracic Surgery·Kenji MinatoyaSoichiro Kitamura

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Citations

Dec 25, 2013·The Journal of Thoracic and Cardiovascular Surgery·Hiroyuki TsukuiKenji Yamazaki
Jan 10, 2012·Computer Methods in Biomechanics and Biomedical Engineering·Claudio M García-HerreraMarcela A Cruchaga
Apr 8, 2015·Annals of Vascular Diseases·Masatoshi KomookaSaburo Kojima
Feb 15, 2013·Korean Circulation Journal·Joong-Hee LeeDo-Yun Lee

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