Obitsu Yukio, Koizumi Nobusato, Iwahashi Toru, Saiki Naozumi, Shigematsu Hiroshi
Department of Vascular Surgery, Tokyo Medical University 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan 160-0023.
J Cardiothorac Surg. 2010 May 10;5:35. doi: 10.1186/1749-8090-5-35.
Aortic anomaly in which a right-sided aortic arch associated with Kommerell's diverticulum and aberrant left subclavian artery is rare. The present report describes a patient with type-B aortic dissection accompanying aortic anomalies consisting of right-sided aortic arch and the left common carotid and left subclavian artery arising from Kommerell's diverticulum. As dissecting aortic aneurysm diameter increased rapidly, Single-stage surgical repair of extensive thoracic aorta was performed through median sternotomy and right posterolateral fifth intercostal thoracotomy, yielding favorable results. Our surgical procedures are discussed.
一种伴有Kommerell憩室和迷走左锁骨下动脉的右侧主动脉弓的主动脉异常较为罕见。本报告描述了一名患有B型主动脉夹层并伴有主动脉异常的患者，其异常包括右侧主动脉弓以及起源于Kommerell憩室的左颈总动脉和左锁骨下动脉。由于夹层主动脉瘤直径迅速增大，通过正中胸骨切开术和右侧后外侧第五肋间开胸术对广泛的胸主动脉进行了一期手术修复，取得了良好效果。我们对手术过程进行了讨论。
