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Double aortic arch with aneurysm-a surgical case report.
The Japanese Journal of Surgery
|December 1, 1975
Summary
This case report details a rare double aortic arch with an aneurysm, causing swallowing difficulties in a 61-year-old male. Surgical repair was attempted but resulted in a fatal cerebral complication.
Area of Science:
- Cardiovascular Surgery
- Medical Case Reports
- Vascular Anomalies
Background:
- Double aortic arch is a rare congenital anomaly.
- Aneurysms of the aortic arch are uncommon, particularly in association with double aortic arch.
Observation:
- A 61-year-old male presented with dysphagia due to an aneurysm of the ascending aorta involving the left arch of a double aortic arch.
- The aneurysmal dilatation tightened the vascular ring, causing symptoms.
Findings:
- The patient underwent surgical correction involving aortic graft replacement.
- Postoperative cerebral complications led to the patient's death 40 hours after surgery.
Implications:
- This case highlights the surgical challenges of managing a double aortic arch with aneurysm.
- It represents the first reported operated case of this rare combination, offering insights into potential complications.