Hybrid management of type B aortic dissection in a patient with right-sided aortic arch and aberrant left subclavian artery

J Vasc Surg Cases Innov Tech. 2023 Jul 16;9(3):101270. doi: 10.1016/j.jvscit.2023.101270. eCollection 2023 Sep.

Abstract

This report describes a patient with a right-sided aortic arch, aberrant left subclavian artery and Kommerell diverticulum, who presented with aneurysmal degeneration of the aortic root to the descending aorta, in addition to an acute type B2-10 aortic dissection. He underwent hybrid treatment with a valve-sparing aortic root replacement, transverse arch replacement with reattachment of the right subclavian artery, bilateral common carotid arteries, and thoracic endovascular aneurysm repair with left subclavian artery embolization and a left common carotid to subclavian artery bypass.

Keywords: Elephant trunk; Kommerell diverticulum; Right-sided aortic arch; Thoracic endovascular aneurysm repair; Type B aortic dissection.

Publication types

  • Case Reports