Two-stage operation for Stanford type A acute aortic dissection originating from Kommerell's diverticulum.
Two-stage operation for Stanford type A acute aortic dissection originating from Kommerell's diverticulum.
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两期手术治疗源自 Kommerell 憩室的斯坦福 A 型急性主动脉夹层。
DOI：
10.1093/icvts/ivw011
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Miyaji K
中科院分区：
文献类型：
--
作者：
Tanaka Y;Kitamura T;Horai T;Miyaji K
我们报告一例罕见的斯坦福大学A型急性主动脉夹层，涉及一个迷走右锁骨下动脉和起源于Kommerell的憩室在52岁的男子。然而，由于随后的假腔扩大，首次手术后5个月成功进行了胸主动脉腔内修复术和右锁骨下动脉弹簧圈栓塞术。在此，我们描述了一个斯坦福大学A型急性主动脉夹层伴迷走右锁骨下动脉的外科治疗方法。
We report a rare case of Stanford type A acute aortic dissection involving an aberrant right subclavian artery and originating from Kommerell's diverticulum in a 52-year old man. Initially, as an emergency measure, total arch replacement and right axillary artery reconstruction were performed. However, due to the subsequent enlargement of the false lumen, thoracic endovascular aortic repair and right subclavian artery coiling were performed successfully 5 months after the first operation. Herein, we describe surgical management approaches for the treatment of a Stanford type A acute aortic dissection with aberrant right subclavian artery.