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Igor E Konstantinov, MD, Francisco J Puga, MD 

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Presentation on theme: "Igor E Konstantinov, MD, Francisco J Puga, MD "— Presentation transcript:

1 Surgical treatment of persistent esophageal compression by an unusual form of right aortic arch 
Igor E Konstantinov, MD, Francisco J Puga, MD  The Annals of Thoracic Surgery  Volume 72, Issue 6, Pages (December 2001) DOI: /S (01)

2 Fig 1 Initial anatomy of the anomaly. (LCA = left common carotid artery; LSA = left subclavian artery; RCA = right common carotid artery; RSA = right subclavian artery.) (By permission of Mayo Foundation.) The Annals of Thoracic Surgery  , DOI: ( /S (01) )

3 Fig 2 Contrast swallow study demonstrating severe esophageal compression in posteroanterior (A) and lateral projections (B). (A) Aortic arch had an unusual course immediately crossing the spine to the left and descending on the left side. (B) Posterior indentation of the esophagus. (C) Angiographic study demonstrating the arch vessels branching pattern. Left subclavian artery anastomosed to descending aorta by mean of a 10-mm Hemashield graft. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

4 Fig 3 Final repair. Right aortic arch division immediately below the origin of the right subclavian artery (RSA). A 22-mm Hemashield graft was positioned from the ascending to the descending aorta. (LCA = left common carotid artery; LSA = left subclavian artery; RCA = right common carotid artery.) (By permission of Mayo Foundation). The Annals of Thoracic Surgery  , DOI: ( /S (01) )

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