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Ann Thorac Surg 2004;78:1465-1467
© 2004 The Society of Thoracic Surgeons

Case report

Atresia of the Right Vertebral Artery in a Patient with Acute Aortic Dissection

Steffen Altmann, MDa, Steffen Fröhner, MDa, Anno Diegeler, MDa, Paul P. Urbanski, MDa,*

a Herz- und Gefaess-Klinik, Bad Neustadt, Germany

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Urbanski, Herz- und Gefaess-Klinik, Salzburger Leite 1, 97616 Bad Neustadt, Germany
p.urbanski{at}herzchirurgie.de

A 49-year-old man had severe neurocognitive dysfunction after urgent operation for acute type A aortic dissection. Complete aortic arch replacement with single reimplantation of the arch branches was performed with the patient under deep hypothermic circulatory arrest. Retrospectively, my colleagues and I consider the atresia of the right vertebral artery to be responsible for this complication and discuss whether knowledge of the anomaly and adapting the operative strategy accordingly would have improved the neurologic outcome.






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Copyright © 2004 by The Society of Thoracic Surgeons.