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Aortic dissection involving a double aortic arch with a right descending aorta
P S Midulla1, O E Dapunt, A M Sadeghi
1Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10029.
The Annals of Thoracic Surgery
|September 1, 1994
Summary
This study details the successful surgical repair of a complex aortic anomaly involving a double aortic arch and descending thoracic aorta dissection. The procedure utilized hypothermic circulatory arrest for optimal patient outcomes.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Congenital aortic anomalies, such as double aortic arch, can predispose individuals to aortic pathologies.
- Subacute dissection of the descending thoracic aorta presents a significant surgical challenge.
Observation:
- A 67-year-old male patient presented with a complex aortic anomaly: a double aortic arch with a right descending aorta.
- The patient also had a subacute dissection of the descending thoracic aorta.
Findings:
- Successful surgical correction of the double aortic arch and descending thoracic aorta dissection was achieved.
- Hypothermic circulatory arrest was employed as a critical component of the surgical strategy.
Implications:
- This case highlights the feasibility of surgical intervention for complex aortic arch anomalies combined with aortic dissection.
- The successful application of hypothermic circulatory arrest in this scenario offers valuable insights for managing similar complex cardiovascular conditions.