Surgical Treatment of Kommerell Diverticulum and the Aberrant Subclavian Artery : Four Case Reports / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
;
: 173-176, 2017.
Artigo
em Japonês
| WPRIM
| ID: wpr-379323
ABSTRACT
<p>We report 4 cases of aortic graft replacement for Kommerell diverticulum (KD) and the aberrant subclavian artery (ASA). In two patients who had a right-sided aortic arch, KD and the left ASA, we performed descending aorta replacement and <i>in-situ </i>reconstruction of the left ASA via a right lateral thoracotomy. Third patient had a left-sided aortic arch, KD and the right ASA, in whom we performed descending aorta graft replacement via a left lateral thoracotomy with ostial closure of the right ASA. Fourth patient had a left-sided aortic arch, KD and the right ASA, and complicated by acute type A aortic dissection. We performed a total arch repair with frozen elephant trunk procedure via a median sternotomy. All 4 patients survived operations and discharged from the hospital with symptom relief. The choice of approach, a thoracotomy or a median sternotomy, should be based on patient-specific anatomy and extent of graft replacement.</p>
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Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Japonês
Revista:
Japanese Journal of Cardiovascular Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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