IMAGES IN CARDIO-THORACIC SURGERY
European Journal of Cardio-Thoracic Surgery 46 (2014) e20 doi:10.1093/ejcts/ezu213 Advance Access publication 19 May 2014
Complicated acute type B dissection originating from an aberrant right subclavian artery Gioia Di Stefano, Michele Murzi*, Marco Solinas and Mattia Glauber Fondazione Toscana Gabriele Monasterio, Ospedale del Cuore, Massa, Italy * Corresponding author. Fondazione Toscana Gabriele Monasterio, Ospedale del Cuore, Via Aurelia Sud 100, 54100, Massa, Italy. Tel: +39-0585-493604; fax: +39-0585-493614; e-mail: [email protected] (M. Murzi). Received 6 February 2014; received in revised form 5 April 2014; accepted 13 April 2014
Keywords: Aortic • Aortic dissection • Endovascular therapies
A 39-year old man was admitted at our institution with interscapular pain and dyspnoea. Computed tomography (CT) scan showed an acute type B dissection originating from an aberrant
right subclavian artery (Fig. 1). Due to refractory pain and kidney malperfusion, the patient underwent emergency aortic arch replacement with frozen elephant trunk (Fig. 2).
Figure 1: 3D Angio-computed tomography (CT) scan reconstruction showing type B dissection in the presence of an aberrant right subclavian artery coexisting with a common bicarotid trunk. The common carotid trunk arose as the first branch, followed by the left subclavian artery and the aberrant right subclavian artery.
Figure 2: Postoperative 3D angio-CT scan reconstruction. The patient underwent a hybrid procedure consisting of aortic arch replacement with a trifurcated Dacron prosthesis plus frozen elephant trunk. The right aberrant subclavian artery was ligated and its origin covered with the stent graft.
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
European Journal of Cardio-Thoracic Surgery 46 (2014) e20 doi:10.1093/ejcts/ezu213 Advance Access publication 19 May 2014
Complicated acute type B dissection originating from an aberrant right subclavian artery Gioia Di Stefano, Michele Murzi*, Marco Solinas and Mattia Glauber Fondazione Toscana Gabriele Monasterio, Ospedale del Cuore, Massa, Italy * Corresponding author. Fondazione Toscana Gabriele Monasterio, Ospedale del Cuore, Via Aurelia Sud 100, 54100, Massa, Italy. Tel: +39-0585-493604; fax: +39-0585-493614; e-mail: [email protected] (M. Murzi). Received 6 February 2014; received in revised form 5 April 2014; accepted 13 April 2014
Keywords: Aortic • Aortic dissection • Endovascular therapies
A 39-year old man was admitted at our institution with interscapular pain and dyspnoea. Computed tomography (CT) scan showed an acute type B dissection originating from an aberrant
right subclavian artery (Fig. 1). Due to refractory pain and kidney malperfusion, the patient underwent emergency aortic arch replacement with frozen elephant trunk (Fig. 2).
Figure 1: 3D Angio-computed tomography (CT) scan reconstruction showing type B dissection in the presence of an aberrant right subclavian artery coexisting with a common bicarotid trunk. The common carotid trunk arose as the first branch, followed by the left subclavian artery and the aberrant right subclavian artery.
Figure 2: Postoperative 3D angio-CT scan reconstruction. The patient underwent a hybrid procedure consisting of aortic arch replacement with a trifurcated Dacron prosthesis plus frozen elephant trunk. The right aberrant subclavian artery was ligated and its origin covered with the stent graft.
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
