Hybrid management of type B aortic dissection in a patient with right-sided aortic arch and aberrant left subclavian artery

Abstract

This report describes a patient with a right-sided aortic arch, aberrant left subclavian artery and Kommerell diverticulum, who presented with aneurysmal degeneration of the aortic root to the descending aorta, in addition to an acute type B2-10 aortic dissection. He underwent hybrid treatment with a valve-sparing aortic root replacement, transverse arch replacement with reattachment of the right subclavian artery, bilateral common carotid arteries, and thoracic endovascular aneurysm repair with left subclavian artery embolization and a left common carotid to subclavian artery bypass.

Keywords

• Type B aortic dissection
• Kommerell diverticulum
• Right-sided aortic arch
• Elephant trunk
• Thoracic endovascular aneurysm repair