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Ann Thorac Surg 2007;83:e3-e5
© 2007 The Society of Thoracic Surgeons

How To Do It

Total Arch Replacement for a Distal Aortic Arch Aneurysm With Right Aortic Arch

Keiko Kiokawa, MDa,*, Kazutomo Goh, MDb, Nobuyuki Akasaka, MDa, Nobuyoshi Azuma, MDa, Masashi Inaba, MDa, Tadahiro Sasajima, MD

a First Department Surgery, Asahikawa Medical University, Asahikawa-city, Hokkaido, Japan
b Emergent Medicine, Asahikawa Medical University, Asahikawa-city, Hokkaido, Japan

Accepted for publication October 16, 2006.

* Address correspondence to Dr Kiyokawa, 2-1-1-1 Midorigaoka Higashi, Asahikawa-city, Hokkaido, 078-8510 Japan. (Email: kiyokawa{at}asahikawa-med.ac.jp).

Right-sided aortic arch accompanied by an aberrant origin of the left subclavian artery is rare and seen in 0.05%~0.1% of the population. A 73-year-old woman with this anomaly was admitted to our institution because of the enlargement of the distal aortic arch aneurysm. She also had mild dysphagia. The size of the aneurysm was 70 mm in diameter and she underwent total arch replacement using selective cerebral perfusion through a median sternotomy. Additional right thoracotomy was not required and four cervical vessels were reconstructed. The postoperative course was uneventful. This case report shows median sternotomy alone may provide sufficient access for this pathology.




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Home page
 Asian Cardiovascular and Thoracic AnnalsHome page
D. Hori, M. Tanaka, A. Yamaguchi, and H. Adachi
Type A Aortic Dissection, Right-Sided Aortic Arch, and Thoracic Aortic Aneurysm
Asian Cardiovascular and Thoracic Annals, December 1, 2009; 17(6): 640 - 642.
[Abstract] [Full Text] [PDF]


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