[A successful surgical case of chronic DeBakey IIIb dissecting aortic aneurysm associated with right-sided aortic arch].
A case of chronic DeBakey IIIb dissecting aneurysm associated with right-sided aortic arch and aberrant left subclavian artery is reported. A 51-year-old man was admitted to our institute for surgical treatment of chronic dissecting aortic aneurysm which occurred 3 years ago. A right posterolateral thoracotomy was made through the 4th intercostal space. Closure of entry was performed under temporary hypothermic circulatory arrest and then, this was followed by plication of false lumen under hypothermic CPB. Post-operative clinical course was uneventful and an intra-venous digital subtraction angiography demonstrated that false lumen in the thorax was completely closed. The patient was discharged from the hospital on 21th POD. Dissecting aortic aneurysm associated with right-sided aortic arch is extremely rare. In operative case, pertinent selection of operative methods considering anatomical diversity is required.
Tsunemi
K
K
Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.
Hasegawa
S
S
Horimoto
H
H
Nishimoto
Y
Y
Fukumoto
H
H
Asada
K
K
Sasaki
S
S
D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures