title: Acute aortic dissection involving an aberrant right subclavian artery.
abstract: Although the aberrant right subclavian artery is the most common abnormality in aortic arch development, it is unusual to encounter this abnormality when repairing acute aortic dissection. We report a case of Stanford type A acute aortic dissection involving an aberrant right subclavian artery in a 45-year-old man. We used the elephant trunk procedure to surgically manage the intimal tear and aberrant right subclavian artery. This is, to our knowledge, the first report in Japan of surgical reconstruction of an aberrant right subclavian artery in conjunction with acute aortic dissection.
authors.affiliation: Division of Cardiovascular Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka 254-0065, Japan.
authors.forename: Takahiko
authors.initials: T
authors.lastname: Misumi
authors.forename: Mikihiko
authors.initials: M
authors.lastname: Kudo
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Ito
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Cho
authors.forename: Hiroya
authors.initials: H
authors.lastname: Kumamaru
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery