A case of Standford type B aortic dissection involving a right-sided aortic arch with mirror-image branching and right-sided descending aorta.
Isolated right aortic arch with mirror-image branching is a rare congenital anomaly. To date, no case has been reported for aortic dissection involving a right aortic arch with mirror-image branching. We report here on a case involving a 58-year-old man in whom expanding type B aortic dissection was demonstrated in the right aortic arch with mirror-image branching and a right descending aorta. The patient was successfully treated by interposition of a prosthetic graft via a right posterolateral thoracotomy approach. We also reviewed the literature.
Department of Cardiovascular Surgery, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. toshio_kaneda@hotmail.com
T
T
Kaneda
J
J
Lemura
Z
Z
Zhang
T
T
Inoue
M
M
Onoe
H
H
Kitayama
S
S
Nakamoto
H
H
Oka
M
M
Otaki
H
H
Oku
D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed