Management of a chronic Stanford type B dissection in a patient with a right-sided aortic arch

We report the case of a 44-year-old male with a right-sided aortic arch who presented with dissection extending from his distal arch to his left common iliac artery. He was initially managed conservatively, but later became symptomatic with back pain; enlargement of the descending thoracic aorta was...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2011-11, Vol.13 (5), p.523-525
Main Authors: Smith, Rachel, Attaran, Saina, Field, Mark, Oo, Aung
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - surgery
Aorta, Thoracic - abnormalities
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Aortography - methods
Back Pain - etiology
Blood Vessel Prosthesis Implantation
Chronic Disease
Humans
Male
Sternotomy
Thoracotomy
Tomography, X-Ray Computed
Treatment Outcome
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Summary:We report the case of a 44-year-old male with a right-sided aortic arch who presented with dissection extending from his distal arch to his left common iliac artery. He was initially managed conservatively, but later became symptomatic with back pain; enlargement of the descending thoracic aorta was demonstrated on computed tomography scanning. He underwent staged repair of the aortic arch and descending thoracic aorta with the elephant trunk procedure - two operations one year apart, each time making a good postoperative recovery.
ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2011.275974