Department of Cardiology, Dongguk University Gyeongju Hospital, Gyeongju, Korea.
Korean J Intern Med. 2010 Sep;25(3):327-30. doi: 10.3904/kjim.2010.25.3.327. Epub 2010 Aug 31.
A right-sided aortic arch (RAA) is a rare congenital anomaly, and Stanford type B dissection aneurysms involving this anomaly is also uncommon. Surgical approaches to dealing with an RAA are complicated by the unusual anatomical features of the condition. Here we report the case of a 47-year-old male who had a type B dissecting aneurysm involving an RAA with Kommerell's diverticulum. Graft replacement was successfully performed with an uneventful postoperative course.
右位主动脉弓(RAA)是一种罕见的先天性异常,涉及这种异常的斯坦福 B 型夹层动脉瘤也不常见。由于这种情况的解剖结构异常,手术处理 RAA 的方法较为复杂。我们在此报告一例 47 岁男性患者,患有涉及 RAA 伴 Kommerell 憩室的 B 型夹层动脉瘤。手术采用移植物置换,术后过程顺利。