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Modified total arch replacement with the frozen elephant trunk technique for a rightâsided aortic arch and aortic diverticulum in a teenager
- Source :
- Journal of Cardiac Surgery. 36:323-325
- Publication Year :
- 2020
- Publisher :
- Hindawi Limited, 2020.
-
Abstract
- BACKGROUND A right sided aortic arch (RAA) and an aortic diverticulum (AD) are a rare congenital anomaly associated with an aortic rupture and dissection. Recently, various methods for the surgical management have been described to treat RAAs and ADs. CASE REPORT We describe a case of an RAA with a mirror image branching (RAMI) and AD in a teenager who complained of chest pain. We planned a total arch replacement with the frozen elephant trunk technique. Further, we needed to devise a way to reconnect the cerebral vessels because of his small arch anatomy and limited space in the mediastinum. We performed a right subclavian artery debranching, creating an anastomosis using one graft and diamond anastomosis, and performed the left innominate and right carotid anastomosis in an island fashion. This surgical approach could be a treatment option for young or small patients with RAMIs and ADs, whose arch anatomy is very small.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Elephant trunks
business.industry
Mediastinum
Right-sided aortic arch
Dissection (medical)
030204 cardiovascular system & hematology
Anastomosis
Chest pain
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
030228 respiratory system
medicine
Arch
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Aortic rupture
Subjects
Details
- ISSN :
- 15408191 and 08860440
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiac Surgery
- Accession number :
- edsair.doi...........d028b2e41f3ea74ed07043117a51a4d4