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Ann Thorac Surg 2001;71:2030-2032
© 2001 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine, Fukuoka, Japan
Accepted for publication April 21, 2000.
Address reprint requests to Dr Tominaga, Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka 8128582, Japan
e-mail: tomina{at}heart.med.kyushu_u.ac.jp
A 63-year-old man had a distal arch aneurysm combined with a circumflex retroesophageal right aortic arch, which is a rare form of vascular ring. By using combined median sternotomy and left thoracotomy under deep hypothermia and retrograde cerebral perfusion, total arch replacement with a vascular graft was successful. We describe our surgical strategy for arch aneurysm associated with an uncommon congenital vascular malformation.
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