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Ann Thorac Surg 2001;71:1710-1711
© 2001 The Society of Thoracic Surgeons

How to do it

Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery

Takuro Tsukube, MDa,*, Keiji Ataka, MDa, Masahiro Sakata, MDb, Noboru Wakita, MDb, Yutaka Okita, MDa

a Department of Surgery, Division II, Kobe University, School of Medicine, Kobe, Japan
b Department of Cardiothoracic Surgery, Kobe Rosai Hospital, Kobe, Japan

Accepted for publication November 14, 2000.

* Address reprint requests to Dr Tsukube, Department of Surgery, Division II, Kobe University, School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan (Email: ttsukube{at}med.kobe-u.ac.jp).

A saccular aneurysm in the right-sided aortic arch with aberrant left subclavian artery is an uncommon disease, and surgical treatment is complicated. Three patients with Edwards type III-B right aortic arch and enlargement of the Kommerell’s diverticulum underwent operations. Right thoracotomy was the preferred approach for this lesion and partial cardiopulmonary bypass is a safe and simple procedure when the aortic arch has mild atherosclerosis.




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