Surgical Repair of an Aneurysm of the Right Aortic Arch with a Retroesophageal Aortic Segment and Mirror-image Branching
10.4326/jjcvs.40.240
- VernacularTitle:食道背側を経由する右側大動脈弓に生じた弓部大動脈瘤に対する1手術例
- Author:
Sadanari Sawaki
;
Yuichi Hirate
;
Shinichi Ashida
;
Akira Takanohashi
;
Kei Yagami
;
Masato Usui
- Publication Type:Journal Article
- Keywords:
right aortic arch;
thoracic aortic aneurysm
- From:Japanese Journal of Cardiovascular Surgery
2011;40(5):240-243
- CountryJapan
- Language:Japanese
-
Abstract:
A 79-year old man presented with hoarseness and we diagnosed an aortic arch aneurysm, 60 mm in diameter. The aortic arch was right-sided and traversed posterior to the esophagus and trachea, and the arch vessels were mirror-imaged. Total arch replacement was performed under hypothermic circulation arrest using selective cerebral perfusion through a median sternotomy. Three cervical vessels were reconstructed, a 24-mm Hemashield was passed anterior to the trachea and esophagus, and an additional right thoracotomy was not necessary. The patient was uneventfully discharged on the 26th postoperative day.
