title: Type A aortic dissection involving a right-sided aortic arch.
abstract: 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.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Sendai City Medical Center and Tohoku University, School of Medicine, Miyagi, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Moizumi
authors.forename: T
authors.initials: T
authors.lastname: Komatsu
authors.forename: K
authors.initials: K
authors.lastname: Nagaya
authors.forename: Y
authors.initials: Y
authors.lastname: Sawamura
authors.forename: M
authors.initials: M
authors.lastname: Sakurai
authors.forename: K
authors.initials: K
authors.lastname: Tabayashi
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed