Kasama Keiichiro, Uranaka Yasuko, Tomita Hiroto, Saba Takuya, Karube Norihisa, Suzuki Shinichi
Department of Cardiovascular surgery, 13661Yokohama municipal citizens hospital, Yokohama, Japan.
Department of Surgery, Yokohama City University Graduate of Medicine, Yokohama, Japan.
Asian Cardiovasc Thorac Ann. 2023 Mar;31(3):259-262. doi: 10.1177/02184923221150692. Epub 2023 Jan 8.
Chronic type B aortic dissection with the right aortic arch was rare. We present the case of a 59-year-old man with a right aortic arch and chronic type B aortic dissection, with a maximum size of 80 mm. Graft replacement was successfully performed through right anterolateral thoracotomy with partial sternotomy through the fourth intercostal space. The patient's postoperative course was uneventful. He had no paralysis and was extubated on postoperative day 2 and discharged from the hospital on postoperative day 15. Anterolateral thoracotomy with partial sternotomy could be a suitable approach for right-sided aortic aneurysms.
合并右位主动脉弓的慢性B型主动脉夹层很少见。我们报告一例59岁男性患者，患有右位主动脉弓和慢性B型主动脉夹层，最大直径为80 mm。通过右前外侧开胸术并经第四肋间进行部分胸骨切开术成功实施了人工血管置换术。患者术后恢复顺利。他没有出现瘫痪，术后第2天拔除气管插管，术后第15天出院。右前外侧开胸术并部分胸骨切开术可能是治疗右侧主动脉瘤的一种合适方法。
