Postoperative aneurysm after aortic coarctation repair in patient with the right aortic arch: repeated surgery in the presence of the rare anomaly

Authors: V.S. Arakelyan, N.A. Gidaspov, I.V. Chshieva, P.P. Kulichkov

Company: A.N. Bakoulev Scientific Center for Cardiovascular Surgery; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation


DOI: https://doi.org/10.15275/kreatkard.2015.03.07

For citation: Arakelyan VS, Gidaspov NA, Chshieva IV et al. Postoperative aneurysm after aortic coarctation repair in patient with the right aortic arch: repeated surgery in the presence of the rare anomaly. Creative Cardiology. 2015; 3: 79-84 (in Russian)

Keywords: thoracic aorta aneurysm the right aortic arch aberrant subclavian artery

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Abstract

This report describes the case of a 34 year old patient with the right aortic arch, aberrant left subclavian artery, right descending thoracic aorta and false postoperative aneurysm of the aortic isthmus developed after patch angioplasty of the aortic coarctation. Saccular aortic aneurysm was located between the subclavian arteries. The patient underwent repeated surgery on thoracic aorta through the right thoracotomy. The postoperative aneurysm of thoracic aorta isthmus was resected with descending thoracic aorta's linear prosthetic repair and inclusion of aberrant left subclavian artery to the distal anastomosis in condition of distal aortic perfusion.

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Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery