Successful Two-Staged Surgical Treatment for a Thoracoabdominal Aortic Aneurysm Combined with an Aberrant Right Subclavian Artery, Kommerell's Diverticulum, and Angina Pectoris
10.4326/jjcvs.37.302
- VernacularTitle:右鎖骨下動脈起始異常および Kommerell 憩室，狭心症を伴った胸腹部大動脈瘤に対し，分割手術を行った1例
- Author:
Yasunori Iida
;
Yukio Obitsu
;
Naozumi Saiki
;
Nobusato Koizumi
;
Hiroshi Shigematsu
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2008;37(5):302-305
- CountryJapan
- Language:Japanese
-
Abstract:
A 72-year-old man with a thoracoabdominal aortic aneurysm combined with an aberrant right subclavian artery, Kommerell's diverticulum, and angina pectoris during follow-up for peripheral arterial disease was successfully treated surgically by two-staged operation. First, we performed total arch replacement using cardiopulmonary bypass, systemic hypothermia, selective cerebral perfusion, and coronary artery bypass grafting. Secondly, we performed replacement of the thoracoabdominal aortic aneurysm using a partial cardiopulmonary bypass. The postoperative course was uneventful. This is apparently the first case of repair for the thoracoabdominal aortic aneurysm combined with an aberrant right subclavian artery and Kommerell's diverticulum.
