Aortic arch and frozen elephant trunk repair of a right-sided aortic arch with pseudoaneurysm rupture

Aaron J. Clark, David Drullinsky, Maurice Pradella, Christopher K. Mehta*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 53-year-old man with a history of vascular ring repair secondary to a right-sided aortic arch with a retroesophageal subclavian artery and ligamentum arteriosum to the descending thoracic aorta presented to our institution with a large aortic pseudoaneurysm of the distal aortic arch. Computed tomography demonstrated a right-sided aortic arch with a 5.8-cm pseudoaneurysm arising from the distal arch with concern for rupture. The patient underwent successful two-stage repair, including a left carotid artery to subclavian artery bypass, followed by total arch replacement with the frozen elephant trunk technique. He recovered well postoperatively, and computed tomography showed complete, successful repair of the pseudoaneurysm.

Original languageEnglish (US)
Article number101258
JournalJournal of Vascular Surgery Cases, Innovations and Techniques
Volume9
Issue number3
DOIs
StatePublished - Sep 2023

Keywords

  • Aortic arch
  • Congenital
  • Frozen elephant trunk
  • Pseudoaneurysm
  • Repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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