Repair of a type B aortic dissection with a re-vascularization of the aberrant right subclavian artery in an adult patient.
Aortic Dissection
/ complications
Aorta, Thoracic
/ diagnostic imaging
Aortic Aneurysm, Thoracic
/ complications
Cardiovascular Abnormalities
/ complications
Computed Tomography Angiography
Humans
Imaging, Three-Dimensional
Incidental Findings
Male
Middle Aged
Subclavian Artery
/ abnormalities
Vascular Surgical Procedures
/ methods
Aberrant
Dissection
Elephant trunk
Lusoria
Stanford B
Journal
Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113
Informations de publication
Date de publication:
27 Nov 2019
27 Nov 2019
Historique:
received:
15
08
2019
accepted:
18
11
2019
entrez:
28
11
2019
pubmed:
28
11
2019
medline:
18
2
2020
Statut:
epublish
Résumé
An aberrant right subclavian artery which arises from the proximal descending aorta may result in aortic dissection. The dissection may occur at either the site of the primary intimal tear or from an aortic branch. These conditions may lead to blood flow limitation and possible aneurysmal degeneration in the future. We described the clinical presentation and management of a 54-year old patient diagnosed with a rare case of an aberrant right subclavian artery with Stanford Type B aortic dissection. A hybrid surgical approach was successfully performed and the patient had an uneventful recovery. Even though aortic dissection is often an incidental finding, this case highlighted that in rare situations, it can be associated with an aberrant right subclavian artery. It is important to disseminate this association as it has profound diagnostic and therapeutic implications in safeguarding the clinical outcomes of patients with such condition.
Sections du résumé
BACKGROUND
BACKGROUND
An aberrant right subclavian artery which arises from the proximal descending aorta may result in aortic dissection. The dissection may occur at either the site of the primary intimal tear or from an aortic branch. These conditions may lead to blood flow limitation and possible aneurysmal degeneration in the future.
CASE PRESENTATION
METHODS
We described the clinical presentation and management of a 54-year old patient diagnosed with a rare case of an aberrant right subclavian artery with Stanford Type B aortic dissection. A hybrid surgical approach was successfully performed and the patient had an uneventful recovery.
CONCLUSION
CONCLUSIONS
Even though aortic dissection is often an incidental finding, this case highlighted that in rare situations, it can be associated with an aberrant right subclavian artery. It is important to disseminate this association as it has profound diagnostic and therapeutic implications in safeguarding the clinical outcomes of patients with such condition.
Identifiants
pubmed: 31771609
doi: 10.1186/s13019-019-1031-7
pii: 10.1186/s13019-019-1031-7
pmc: PMC6880428
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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