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J Cardiothorac Surg ; 14(1): 201, 2019 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-31771609

RESUMEN

BACKGROUND: An aberrant right subclavian artery which arises from the proximal descending aorta may result in aortic dissection. The dissection may occur at either the site of the primary intimal tear or from an aortic branch. These conditions may lead to blood flow limitation and possible aneurysmal degeneration in the future. CASE PRESENTATION: We described the clinical presentation and management of a 54-year old patient diagnosed with a rare case of an aberrant right subclavian artery with Stanford Type B aortic dissection. A hybrid surgical approach was successfully performed and the patient had an uneventful recovery. CONCLUSION: Even though aortic dissection is often an incidental finding, this case highlighted that in rare situations, it can be associated with an aberrant right subclavian artery. It is important to disseminate this association as it has profound diagnostic and therapeutic implications in safeguarding the clinical outcomes of patients with such condition.


Asunto(s)
Aorta Torácica/cirugía , Aneurisma de la Aorta Torácica/cirugía , Disección Aórtica/cirugía , Anomalías Cardiovasculares/cirugía , Arteria Subclavia/anomalías , Procedimientos Quirúrgicos Vasculares/métodos , Disección Aórtica/complicaciones , Disección Aórtica/diagnóstico , Aorta Torácica/diagnóstico por imagen , Aneurisma de la Aorta Torácica/complicaciones , Aneurisma de la Aorta Torácica/diagnóstico , Anomalías Cardiovasculares/complicaciones , Anomalías Cardiovasculares/diagnóstico , Angiografía por Tomografía Computarizada , Humanos , Imagenología Tridimensional , Hallazgos Incidentales , Masculino , Persona de Mediana Edad , Arteria Subclavia/cirugía
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