Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery Takuro Tsukube, MD, Keiji Ataka, MD, Masahiro Sakata,

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Presentation transcript:

Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery Takuro Tsukube, MD, Keiji Ataka, MD, Masahiro Sakata, MD, Noboru Wakita, MD, Yutaka Okita, MD The Annals of Thoracic Surgery Volume 71, Issue 5, Pages 1710-1711 (May 2001) DOI: 10.1016/S0003-4975(00)02698-9 Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Operative view of the right-sided aortic arch aneurysm through a right thoracotomy and line of incision of the aneurysm were demonstrated. (B–D) The steps in the repair, using partial cardiopulmonary bypass with reimplantation of the aberrant left subclavian artery with an interposition tube graft. The aortic arch, the descending aorta, and the right subclavian artery were clamped, and a balloon occlusion of the aberrant left subclavian artery was applied. (ALSA = aberrant left subclavian artery; LCA = left carotid artery; RCA = right carotid artery; RSA = right subclavian artery; V = right vagus.) The Annals of Thoracic Surgery 2001 71, 1710-1711DOI: (10.1016/S0003-4975(00)02698-9) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Computed tomography (left) and digital subtraction angiography (right) of patient 3 demonstrated a right-sided aortic arch (Edwards type III B) and a saccular aneurysmal formation of Kommerell’s diverticulum with a maximal diameter of 55 mm. (ALSA = aberrant left subclavian artery; LCA = left carotid artery; RCA = right carotid artery; RSA = right subclavian artery.) The Annals of Thoracic Surgery 2001 71, 1710-1711DOI: (10.1016/S0003-4975(00)02698-9) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions