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Surgical treatment for thoracic aortic aneurysm with aberrant right subclavian artery

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Abstract

We present two operative cases of thoracic aortic aneurysm combined with aberrant right subclavian artery (ARSA). Case 1 was a 71-year-old man with a fusiform-type arch aneurysm. He underwent total aortic arch replacement to reconstruct all 4 arch branches. Case 2 was a 39-year-old man suffering from chronic DeBakey type IIIb dissection. He underwent total descending thoracic aortic replacement for the remaining ARSA. In both cases ARSA was diagnosed preoperatively by reconstructed three-dimensional computed tomography (3D-CT). Both patients followed uneventful postoperative courses with excellent results. 3D-CT is helpful for precise planning of surgical strategy in such cases.

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Narita, Y., Usui, A. & Ueda, Y. Surgical treatment for thoracic aortic aneurysm with aberrant right subclavian artery. Jpn J Thorac Caridovasc Surg 54, 164–167 (2006). https://doi.org/10.1007/BF02662472

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