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Stanford type B aortic dissection in a patient with aberrant right subclavian artery

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Abstract

An aberrant right subclavian artery is a rare aortic arch anomaly where the right subclavian artery arises from the proximal part of the descending thoracic aorta and distal to origin of left subclavian artery. It usually courses behind the esophagus. Type B aortic dissection along with aberrant right subclavian artery is not common. A middle-aged man presented with complaints of epigastric pain and on evaluation was found to have aberrant right subclavian artery with type B aortic dissection. A total arch replacement with frozen elephant trunk surgery and an extra-anatomic bypass of right subclavian artery were performed. Type B aortic dissection is more often an incidental finding and its association with aberrant right subclavian artery is unusual. Such association should be identified and treated accordingly to avert clinical complications.

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Acknowledgements

The authors would like to acknowledge Dr. Kishore Ravi for his effort in compiling the data for this study.

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Authors and Affiliations

  1. Institute of Cardiac and Aortic Disorders, SIMS Hospital, Chennai, 600026, India

    Chellasamy Rajeev Thilak, Mohammed Idhrees, Mohammed Ibrahim & Bashi Velayudhan

  2. Department of Cardiac Anaesthesia, SIMS Hospital, Chennai, 600026, India

    Arumugam Arunkumar

Authors
  1. Chellasamy Rajeev Thilak
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  2. Mohammed Idhrees
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  3. Mohammed Ibrahim
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  4. Arumugam Arunkumar
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  5. Bashi Velayudhan
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Contributions

Dr. Bashi V Velayudhan initiated the study and Dr. Mohammed Idhrees helped in conceptualization of the study. Dr. Mohammed Ibrahim and Dr. Arunkumar Arumugam critically reviewed the manuscript. Dr. Rajeev Thilak contributed to preparation of the manuscript.

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Correspondence to Chellasamy Rajeev Thilak.

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The SIMS Hospital Ethics Committee has waived the approval for this case report.

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Informed consent was obtained from the patient.

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No.

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Thilak, C.R., Idhrees, M., Ibrahim, M. et al. Stanford type B aortic dissection in a patient with aberrant right subclavian artery. Indian J Thorac Cardiovasc Surg 40, 234–237 (2024). https://doi.org/10.1007/s12055-023-01637-x

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  • DOI: https://doi.org/10.1007/s12055-023-01637-x

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