Staged Hybrid Repairs of Acute Type A Aortic Dissection Involving the Right Aortic Arch with Retroesophageal Aortic Segment S. Sato, H. Matsuda, T. Fukuda,

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Presentation transcript:

Staged Hybrid Repairs of Acute Type A Aortic Dissection Involving the Right Aortic Arch with Retroesophageal Aortic Segment S. Sato, H. Matsuda, T. Fukuda, H. Ogino EJVES Extra Volume 21, Issue 3, Pages e13-e16 (March 2011) DOI: 10.1016/j.ejvsextra.2011.01.001 Copyright © 2011 European Society for Vascular Surgery Terms and Conditions

Figure 1 The RAA deviated to the right cranial direction and curved to the left caudal direction behind the trachea and esophagus. The left common carotid (LCCA), right common carotid (RCCA), and right subclavian arteries (RSCA) branched from the ascending aorta in this order. On the left side of the esophagus, the left subclavian artery (LSCA) arose from a Kommerell’s diverticulum. The dissection extended from the aortic root to the AAA with a patent false lumen. EJVES Extra 2011 21, e13-e16DOI: (10.1016/j.ejvsextra.2011.01.001) Copyright © 2011 European Society for Vascular Surgery Terms and Conditions

Figure 2 Three months after the first operation, the descending aorta was enlarged to 58 mm (A). Endovascular repair was carried out to close the primary intimal tear (B) after graft replacement of the AAA with double-barreled proximal anastomosis. EJVES Extra 2011 21, e13-e16DOI: (10.1016/j.ejvsextra.2011.01.001) Copyright © 2011 European Society for Vascular Surgery Terms and Conditions