Surgical Repair of an Aneurysm of the Right Aortic Arch with a Retroesophageal Aortic Segment and Mirror-image Branching

(Department of Cardiovascular Surgery, Nagoya Ekisaikai Hospital, Nagoya, Japan)

Sadanari Sawaki Yuichi Hirate Shinichi Ashida
Akira Takanohashi Kei Yagami Masato Usui
A 79-year old man presented with hoarseness and we diagnosed an aortic arch aneurysm, 60mm in diameter. The aortic arch was right-sided and traversed posterior to the esophagus and trachea, and the arch vessels were mirror-imaged. Total arch replacement was performed under hypothermic circulation arrest using selective cerebral perfusion through a median sternotomy. Three cervical vessels were reconstructed, a 24-mm Hemashield was passed anterior to the trachea and esophagus, and an additional right thoracotomy was not necessary. The patient was uneventfully discharged on the 26th postoperative day.
  Jpn. J. Cardiovasc. Surg. 40:240-243(2011)

Keywords:right aortic arch, thoracic aortic aneurysm