A Case of Standford Type B Aortic Dissection Involving a Right-Sided Aortic Arch with Mirror-Image Branching and Right-Sided Descending Aorta

Isolated right aortic arch with mirror-image branching is a rare congenital anomaly. To date, no case has been reported for aortic dissection involving a right aortic arch with mirror-image branching. We report here on a case involving a 58-year-old man in whom expanding type B aortic dissection was demonstrated in the right aortic arch with mirror-image branching and a right descending aorta. The patient was successfully treated by interposition of a prosthetic grafr via a right posterolateral thoracotomy approach. We also reviewed the literature.

Right-sided aortic arch - Mirror-image - Right-sided descending aorta - Aortic dissection

References

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Received for Publication: March 7, 2000