title: Aortic arch replacement through a left thoracotomy for right-sided aortic arch aneurysm with complete vascular ring.
abstract: Right-sided aortic arch with retroesophageal left subclavian artery and left ligamentum arteriosum is the second most common vascular ring. Aneurysms of the arch in its retroesophageal portion are rare. The surgical repair of a retroesophageal arch aneurysm poses a significant challenge because no single approach provides access to the whole arch and all of its branches. We describe a 39-year-old patient with aneurysmal dilatation of the retroesophageal arch who presented with airway obstruction. The arch aneurysm was repaired with a staged approach. A right-sided carotid-subclavian artery bypass was performed, followed by distal ascending aorta and aortic arch replacement under hypothermic circulatory arrest through a left thoracotomy.
authors.affiliation: Division of Vascular Diseases and Surgery, Department of Surgery, Heart and Vascular Center, Wexner Medical Center, The Ohio State University, Columbus, Ohio.
authors.forename: Axel
authors.initials: A
authors.lastname: Thors
authors.affiliation: Division of Vascular Diseases and Surgery, Department of Surgery, Heart and Vascular Center, Wexner Medical Center, The Ohio State University, Columbus, Ohio.
authors.forename: Mounir J
authors.initials: MJ
authors.lastname: Haurani
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Heart and Vascular Center, Wexner Medical Center, The Ohio State University, Columbus, Ohio.
authors.forename: Karen C
authors.initials: KC
authors.lastname: Nelson
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Heart and Vascular Center, Wexner Medical Center, The Ohio State University, Columbus, Ohio. Electronic address: juan.crestanello@osumc.edu.
authors.forename: Juan A
authors.initials: JA
authors.lastname: Crestanello
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography / Q000379:methods; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001015:Aortic Arch Syndromes / Q000000981:diagnostic imaging / Q000601:surgery; D018376:Cardiovascular Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D002339:Carotid Arteries / Q000601:surgery; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods*; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D018570:Risk Assessment; D013348:Subclavian Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: 26