Tanaka Yuki, Kitamura Tadashi, Horai Tetsuya, Miyaji Kagami
Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
Interact Cardiovasc Thorac Surg. 2016 May;22(5):695-7. doi: 10.1093/icvts/ivw011. Epub 2016 Feb 10.
We report a rare case of Stanford type A acute aortic dissection involving an aberrant right subclavian artery and originating from Kommerell's diverticulum in a 52-year old man. Initially, as an emergency measure, total arch replacement and right axillary artery reconstruction were performed. However, due to the subsequent enlargement of the false lumen, thoracic endovascular aortic repair and right subclavian artery coiling were performed successfully 5 months after the first operation. Herein, we describe surgical management approaches for the treatment of a Stanford type A acute aortic dissection with aberrant right subclavian artery.
我们报告了一例罕见的斯坦福A型急性主动脉夹层病例，该病例发生在一名52岁男性身上，累及异常右锁骨下动脉，起源于Kommerell憩室。最初，作为紧急措施，进行了全弓置换和右腋动脉重建。然而，由于假腔随后扩大，在首次手术后5个月成功进行了胸主动脉腔内修复术和右锁骨下动脉线圈栓塞术。在此，我们描述了治疗伴有异常右锁骨下动脉的斯坦福A型急性主动脉夹层的手术管理方法。
