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Ruptured right aortic arch aneurysm.
Worawong Slisatkorn1, Pansak Laksanabunsong, Punnarerk Thongcharoen
1Division of Cardiovascular Thoracic Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. siwsl@mahidol.ac.th
Asian Cardiovascular & Thoracic Annals
|December 9, 2004
Summary
A ruptured right aortic arch aneurysm in a 74-year-old woman was successfully treated with surgery. This case highlights the importance of prompt diagnosis and intervention for this rare condition.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Aneurysm Research
Background:
- Right aortic arch is a rare congenital anomaly.
- Aortic aneurysms can occur in association with aortic arch anomalies.
- Ruptured aortic aneurysms are life-threatening emergencies.
Observation:
- A 74-year-old woman presented with shock due to a ruptured right aortic arch aneurysm.
- Diagnostic imaging confirmed the aneurysm and rupture.
- The patient underwent emergency surgical repair.
Findings:
- Surgical findings included a ruptured aneurysm of the right aortic arch.
- The operative approach involved complex aortic reconstruction.
- Successful repair was achieved with good immediate outcome.
Implications:
- This case underscores the need for high clinical suspicion in patients with shock and suspected aortic pathology.
- Prompt surgical intervention is critical for survival in ruptured aortic arch aneurysms.
- Review of literature provides insights into surgical management strategies for this rare entity.
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