title: Management of a chronic Stanford type B dissection in a patient with a right-sided aortic arch.
abstract: We report the case of a 44-year-old male with a right-sided aortic arch who presented with dissection extending from his distal arch to his left common iliac artery. He was initially managed conservatively, but later became symptomatic with back pain; enlargement of the descending thoracic aorta was demonstrated on computed tomography scanning. He underwent staged repair of the aortic arch and descending thoracic aorta with the elephant trunk procedure - two operations one year apart, each time making a good postoperative recovery.
authors.affiliation: Thoracic Aortic Aneurysm Service, Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool,  UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Smith
authors.forename: Saina
authors.initials: S
authors.lastname: Attaran
authors.forename: Mark
authors.initials: M
authors.lastname: Field
authors.forename: Aung
authors.initials: A
authors.lastname: Oo
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001416:Back Pain / Q000209:etiology; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D006801:Humans; D008297:Male; D056346:Sternotomy; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome