HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Peter J. Oberwalder Peter Bergmann Bruno Rigler Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Oberwalder, P. J. Articles by Rigler, B. Search for Related Content PubMed PubMed Citation Articles by Oberwalder, P. J. Articles by Rigler, B. Related Collections Great vessels

J Thorac Cardiovasc Surg 2005;129:953-954
© 2005 The American Association for Thoracic Surgery

Brief Communications

Aneurysm of a right-sided aortic arch and right descending aorta: Three-dimensional volume rendering of multislice computed tomographic aortography facilitates surgical planning and management

^a Department of Cardiac Surgery, Medical School Graz, Graz, Austria
^b Department of Radiology, Medical School Graz, Graz, Austria

Received for publication July 19, 2004; revisions received August 6, 2004; accepted for publication August 18, 2004.

^_* Address for reprints: Peter J Oberwalder, MD, Department of Cardiac Surgery, Medical School Graz, Auenbruggerplatz 29, 8036 Graz, Austria (E-mail: peter.oberwalder@meduni-graz.at).

The first 20% of the full text of this article appears below.

Aortic aneurysms of the right-sided aortic arch and a subsequent descending aorta with an aberrant left subclavian artery (ALSA) are rather uncommon (0.05% of the population), with only a few cases reported.^1–4 We describe a successful surgical repair of this vascular congenital anomaly after a previous accurate imaging technique, demonstrating the atypical arrangement of the brachiocephalic arteries of this malformation.

Clinical summary

A 55-year-old man who was otherwise asymptomatic was planned for elective excision of multiple lipomas on his thorax wall.

Preoperative evaluation showed a huge aneurysm (8 cm) of the descending aorta on chest radiography. Further investigation was carried out.

Multislice computed tomographic aortography (MSCTA) revealed a right-sided descending aortic aneurysm originating at the distal right-sided aortic arch. Furthermore, an ALSA without dilatation was present, arising from the upper third of the descending aorta.

Volume rendering of MSCTA created 3-dimensional images of the aortic pathology, which allowed a more accurate evaluation of the brachiocephalic arteries (Figure 1), thereby facilitating planning of the surgical strategy. Arrangement of the brachiocephalic arteries consisted of the following: A left common carotid artery arose as the first . . . [Full Text of this Article]

This article has been cited by other articles:

				F. Follis, G. Filippone, G. Montalbano, E. LoBianco, M. Finazzo, and M. Follis Repair of postdissection descending thoracic aneurysm with right-sided aortic arch and aberrant left subclavian artery J. Thorac. Cardiovasc. Surg., April 1, 2010; 139(4): 1086 - 1087. [Full Text] [PDF]

				J. J. Naoum, J. L. Parenti, S. A. LeMaire, and J. S. Coselli Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery Ann. Thorac. Surg., March 1, 2008; 85(3): 1074 - 1076. [Abstract] [Full Text] [PDF]