Hybrid Management of Type B Aortic Dissection in a Patient With Right-sided Aortic Arch and Aberrant Left Subclavian Artery

Authors

Regina Husman
Madiha Hassan
Anthony L Estrera
Rana O Afifi

Publication Date

9-1-2023

Journal

Journal of Vascular Surgery: Cases, Innovations and Techniques

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