Successful Surgical Treatment for an Aortic Arch Aneurysm Combined with an Aberrant Right Subclavian Artery.
10.4326/jjcvs.29.57
- VernacularTitle:右鎖骨下動脈起始異常を合併した弓部大動脈りゅうの１手術治験例
- Author:
Yoshio Sudo
;
Yoshiharu Takahara
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2000;29(1):57-59
- CountryJapan
- Language:Japanese
-
Abstract:
An 81-year-old man complaining of back pain was admitted. Computed tomographic scan revealed an aortic arch aneurysm and an abnormal retroesophageal artery. It was believed to be an aberrant right subclavian artery. The diagnosis was confirmed by angiogram. Although there was no evidence of rupture, his back pain prompted us to perform emergency surgery. Through median sternotomy using a cardiopulmonary bypass, systemic hypothermia and selective cerebral perfusion, total arch replacement was done. There was evidence of impending rupture, which was probably the cause of his back pain. The proximal portion of the aberrant right subclavian artery was severely calcified, so the right subclavian artery was reconstructed. It was anastomosed with one branch of the arch graft which passed the anterior of the trachea. The postoperative course was uneventful. We believe median sternotomy was a proper approach for such a situation.
