Type A aortic dissection, right-sided aortic arch, and thoracic aortic aneurysm.
A previously healthy 78-year-old woman presented with severe chest pain. Computed tomography revealed a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum, a thoracic aortic aneurysm, and Stanford type A acute aortic dissection. Successful emergency repair of the ascending aorta, total arch, and descending aorta were performed through a median sternotomy only.
Hori
Daijiro
D
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan. masashi@omiya.jichi.ac.jp
Tanaka
Masashi
M
Yamaguchi
Atsushi
A
Adachi
Hideo
H
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D002637:Chest Pain / Q000209:etiology; D005260:Female; D006801:Humans; D012720:Severity of Illness Index; D056346:Sternotomy; D013348:Subclavian Artery / Q000002:abnormalities; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome