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Acute aortic dissection involving an aberrant right subclavian artery

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Abstract

Although the aberrant right subclavian artery is most common abnormality in aortic arch development, it is unusual to encounter this abnormality when repairing acute aortic dissection. We report a case of Stanford type A acute aortic dissection involving an aberrant right subclavian artery in a 45-year-old man. We used the elephant trunk procedure to surgically manage the intimal tear and aberrant right subclavian artery. This is, to our knowledge, the first report in Japan of surgical reconstruction of an aberrant right subclavian artery in conjunction with acute aortic dissection.

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References

  1. Goldbloom AA. The anomalous right subclavian artery and its possible clinical significance. Surg Gynecol Obstet 1922; 34: 378–84.

    Google Scholar 

  2. Ando M, Takamoto S, Okita Y, Morota T, Matsukawa R, Kitamura S. Elephant trunk procedure for surgical treatment of aortic dissection. Ann Thorac Surg 1998; 66: 82–7.

    Article  CAS  PubMed  Google Scholar 

  3. Konishi T, Higuchi K, Fukata M, Takeda M, Akishima S, Fukuda S. Extended aortic replacement in acute dissection by the separated elephant trunk technique. Ann Thorac Surg 1999; 67: 1664–8.

    Article  CAS  PubMed  Google Scholar 

  4. Fukushima K, Kamisawa O, Yamaguchi T, Misawa Y, Kato M, Hasegawa T. Dissecting aortic aneurysm involving an aberrant right subclavian artery (Eng abstr). J Jpn Assn Thorac Surg 1992; 40: 278–81.

    CAS  Google Scholar 

  5. Furukawa H, Takemura T, Ohno H, Hirai M, Nemoto S. Stanford type A acute aortic dissection involving an aberrant right subclavian artery: a successful operative case (Eng abstr) J Jpn Assn Thorac Surg 1995; 43: 533–7.

    CAS  Google Scholar 

  6. Esposito RA, Khalil I, Galloway AC, Spencer FC. Surgical treatment for aneurysm of aberrant subclavian artery based on a case report and review of the literature. J Thorac Cardiovasc Surg 1988; 95: 888–91.

    CAS  PubMed  Google Scholar 

  7. Svenson LG, Crawford ES. Aortic dissection and aortic aneurysm surgery. Clinical observations, experimental investigations, and statistical analysis. Part III. Curr Probl Surg 1993; 30: 61–5.

    Article  Google Scholar 

  8. Okura M, Misumi T, Nagumo M, Sakai T, Kawada K. A median sternotomy approach for symptomatic right subclavian artery in the adult (Eng abstr). J Jpn Assn Thorac Surg 1991; 39: 2234–9.

    CAS  Google Scholar 

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Misumi, T., Kudo, M., Ito, T. et al. Acute aortic dissection involving an aberrant right subclavian artery. Jpn J Thorac Cardiovasc Surg 50, 119–121 (2002). https://doi.org/10.1007/BF02913473

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  • DOI: https://doi.org/10.1007/BF02913473

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