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Eur J Cardiothorac Surg 2000;17:614-616
© 2000 Elsevier Science NL

Case report

Dissecting thoracoabdominal aortic aneurysm associated with an isolated right-sided aortic arch

Department of Cardiovascular Surgery, Osaka Rosai Hospital, 1179-3 Nagasone-cho, Sakai 591-8025, Japan

Corresponding author. Tel.: +81-722-52-3561; fax +81-722-55-3349
e-mail: skuki{at}orh.go.jp

Although a right-sided aortic arch is not a rare anomaly, an aortic dissection involving an isolated right-sided aortic arch is extremely rare and remains a complicated entity for surgical therapy because of its anatomical characteristics. Previous reports that we have identified in English literature include only six surgical cases of aortic dissection involving a right-sided aortic arch. We report on a 75-year-old female who had a chronic thoracoabdominal aortic aneurysm following type B aortic dissection in a right-sided aortic arch. Graft replacement including reconstruction of Adamkiewicz artery and a celiac trunk was performed. The postoperative course was uneventful except for a prolonged ventilatory support. This case seems to be the first successful case of extended graft replacement for this pathology.

Key Words: Right-sided aortic arch • Aortic dissection • Thoracoabdominal aortic aneurysm • Graft replacement