title: Surgical repair for aortic dissection accompanying a right-sided aortic arch.
abstract: Aortic anomaly in which a right-sided aortic arch associated with Kommerell's diverticulum and aberrant left subclavian artery is rare. The present report describes a patient with type-B aortic dissection accompanying aortic anomalies consisting of right-sided aortic arch and the left common carotid and left subclavian artery arising from Kommerell's diverticulum. As dissecting aortic aneurysm diameter increased rapidly, Single-stage surgical repair of extensive thoracic aorta was performed through median sternotomy and right posterolateral fifth intercostal thoracotomy, yielding favorable results. Our surgical procedures are discussed.
authors.affiliation: Department of Vascular Surgery, Tokyo Medical University 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan 160-0023. obitsu@tokyo-med.ac.jp
authors.forename: Yukio
authors.initials: Y
authors.lastname: Obitsu
authors.forename: Nobusato
authors.initials: N
authors.lastname: Koizumi
authors.forename: Toru
authors.initials: T
authors.lastname: Iwahashi
authors.forename: Naozumi
authors.initials: N
authors.lastname: Saiki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shigematsu
mesh_terms: 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*; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D017536:Carotid Artery, Common / Q000002:abnormalities; D004240:Diverticulum / Q000150:complications; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities; D014057:Tomography, X-Ray Computed
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