Sanford M. Zeigler, MD, William Hiesinger, MD

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Presentation transcript:

Successful Repair of Type A Aortic Dissection in an Octogenarian With Double Aortic Arch Sanford M. Zeigler, MD, William Hiesinger, MD The Annals of Thoracic Surgery Volume 107, Issue 1, Pages e19-e21 (January 2019) DOI: 10.1016/j.athoracsur.2018.05.082 Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 High-definition computed tomography demonstrates the double aortic arch with dominant right arch. Bilateral common carotid arteries (red arrows) originated proximally, with bilateral subclavian arteries (white arrows) arising posteriorly. The false lumen can be seen extending into the right-sided arch. The Annals of Thoracic Surgery 2019 107, e19-e21DOI: (10.1016/j.athoracsur.2018.05.082) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative photograph demonstrates the bifurcation of the ascending aorta into left- and right-sided arches. The repaired dissection flap is visible in the anterior aspect of the right arch. The trachea (not seen) is coursing behind the bifurcation. The Annals of Thoracic Surgery 2019 107, e19-e21DOI: (10.1016/j.athoracsur.2018.05.082) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photograph demonstrates the completed repair, with Gelweave graft (Sulzer Vascutek, Renfrewshire, Scotland) extension into the proximal right-sided arch. Inflammatory adhesions are seen throughout the pericardial space. The Annals of Thoracic Surgery 2019 107, e19-e21DOI: (10.1016/j.athoracsur.2018.05.082) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Supplemental Fig 1 High-definition computed tomography with volume-rendered three-dimensional reconstruction demonstrates aortic contour after successful repair of the type A dissection. The Annals of Thoracic Surgery 2019 107, e19-e21DOI: (10.1016/j.athoracsur.2018.05.082) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions