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Ann Thorac Surg 2000;70:1405-1407
© 2000 The Society of Thoracic Surgeons

Case report

Double aneurysms of arch and descending aorta associated with right aortic arch

Tamotsu Yasuda, MDa, Shinichiro Yamamoto, MDa, Yoshinori Ishida, MDa

a Department of Cardiovascular Surgery, Fukui Prefectural Hospital, Fukui, Japan

Address reprint requests to Dr Yasuda, Department of Surgery (I), Kanazawa University School of Medicine, Takaramachi 13–1, Kanazawa 920–8641, Japan
e-mail: yasuda{at}sf.m.kanazawa-u.ac.jp

We report a case of a 69-year-old man in whom double aortic aneurysms of the arch and descending aorta with a right aortic arch and mirror-image branching were diagnosed by three-dimensional computed tomography and aortography. These techniques are useful to assess the exact anatomy of the lesion and branches of the arch. The patient was successfully treated by a two-stage operation consisting of aortic arch replacement followed by descending aorta replacement.




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