title: Hybrid repair combined with open surgery and endografting for lesions in right aortic arch: report of three cases.
abstract: Three cases with lesions in the right aortic arch (RAA) are presented. For two patients, whose RAA contained a retroesophageal segment, the primary treatment was total arch replacement (TAR) for acute type A dissection or severe arch angulation with thoracic endovascular aneurysm repair (TEVAR) as second-stage surgery. The third patient, who had RAA with mirror image branching, underwent supra-aortic bypass followed by TEVAR. There was no operative mortality, but the condition of two patients who underwent TAR was complicated by bilateral recurrent nerve palsy, which can be critical. The combination of TEVAR and supra-aortic bypass might thus be preferable for patients with RAA.
authors.affiliation: Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Sato
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Matsuda
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Fukuda
authors.forename: Keitaro
authors.initials: K
authors.lastname: Domae
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Iba
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tanaka
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Sasaki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ogino
keywords: TEVAR; endovascular repair; hybrid repair; right aortic arch; stentgraft
references.citation: Circulation. 2010 Jun 29;121(25):2780-804
references.pmid: 20530003
references.citation: Eur J Cardiothorac Surg. 2005 Aug;28(2):335-6
references.pmid: 16039965
references.citation: Vasa. 1982;11(3):223-8
references.pmid: 7136242
references.citation: Eur J Cardiothorac Surg. 2006 Feb;29(2):255-7
references.pmid: 16376563
references.citation: Circulation. 1974 Nov;50(5):1047-51
references.pmid: 4430090
references.citation: Okajimas Folia Anat Jpn. 1992 Mar;68(6):377-91
references.pmid: 1603527