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Ann Thorac Surg 2001;72:2121-2123
© 2001 The Society of Thoracic Surgeons

Case report

Surgical treatment of persistent esophageal compression by an unusual form of right aortic arch

Igor E. Konstantinov, MDa, Francisco J. Puga, MD*a

a Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA

Accepted for publication February 14, 2001.

* Address reprint requests to Dr Puga, Division of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
e-mail: puga.francisco{at}mayo.edu

A 32-year-old woman with dysphagia due to an unusual form of right aortic arch and anomalous left subclavian artery had successful repair after two previous failures. The definitive repair was accomplished by resection of the retroesophageal portion of the right aortic arch. The continuity of the aorta was established with a prosthetic graft. The operation was performed through a median sternotomy with cardiopulmonary bypass and circulatory arrest.




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