Management of a chronic Stanford type B dissection in a patient with a right-sided aortic arch

R. Smith, S. Attaran, M. Field, A. Oo
2011 Interactive Cardiovascular and Thoracic Surgery  
We report the case of a 44-year-old male with a right-sided aortic arch who presented with dissection extending from his distal arch to his left common iliac artery. He was initially managed conservatively, but later became symptomatic with back pain; enlargement of the descending thoracic aorta was demonstrated on computed tomography scanning. He underwent staged repair of the aortic arch and descending thoracic aorta with the elephant trunk proceduretwo operations one year apart, each time
more » ... apart, each time making a good postoperative recovery.
doi:10.1510/icvts.2011.275974 pmid:21831876 fatcat:mguhkthjxnemlnfh7pjoqe354y