Abstract
BackgroundA 59-year old man being investigated for back pain was found to have aneurysmal dilatation of a right-sided aortic arch and descending thoracic aorta together with an aberrant left subclavian artery.Case PresentationHe underwent repair of this utilising the frozen elephant trunk technique, which dealt with all three pathologies in one-stage. He made an unremarkable recovery and was discharged home on the 8th post-operative day.ConclusionsThis case report further demonstrates the flexibility and safety of the frozen elephant trunk in dealing with complex aortic pathology as a single-stage procedure.
Highlights
A 59-year old man being investigated for back pain was found to have aneurysmal dilatation of a right-sided aortic arch and descending thoracic aorta together with an aberrant left subclavian artery
It is often associated with an aberrant left subclavian artery, and patients are prone to developing aneurysm and dissection [1]
We report the successful single stage repair of this vascular anomaly using the frozen elephant trunk technique
Summary
A right-sided aortic arch is an uncommon congenital lesion occurring in 0.05–0.10 % of the population It is often associated with an aberrant left subclavian artery, and patients are prone to developing aneurysm and dissection [1]. Attention was turned to the ascending aorta where a vascular prosthesis with four side branches (30 mm Tetrabranch, Jotec Inc.) was anastomosed distally to the arch cuff (comprising the native aorta and the E-vita prosthesis/Teflon strip as described above) using a continuous suture (3-0 Prolene, Ethicon). The 3rd side branch (8 mm) was passed under the innominate vein and was anastomosed end-to-end to the RCCA (after removal of the perfusion catheter) with a continuous suture (5-0 Prolene, Ethicon). The 1st side branch (10 mm) was passed under the innominate vein and anastomosed end-to-end to the LCCA (after removal of the perfusion catheter) with a continuous suture (5-0 Prolene, Ethicon). Twelve-month follow-up with CTA confirmed satisfactory appearance of the reconstruction with absence of endoleak
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