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Dissecting aortic aneurysm involving a right-sided aortic arch.
Authors:P Roan  S Parish  L M Buja  A Estrera  L Mills  J Atkins  J Willerson
Affiliation:1. From the Departments of Internal Medicine (Cardiac Unit), Pathology and Surgery (Thoracic Surgery Division), at The University of Texas Health Science Center, Dallas, TexasUSA;2. From the Parkland Memorial Hospital, Dallas, TexasUSA
Abstract:In this case, the first reported instance of aortic dissection involving a right-sided arch, an anomalous fourth arch vessel, the left subclavian artery, arose from a congenital aortic diverticulum. This report emphasizes the need for precise anatomic definition with aortography to permit appropriate therapy when congenital anomalies of the aortic arch are complicated by dissecting hematoma.
Keywords:Address for reprints: Peter Roan   MD   Department of Internal Medicine   H8-116   The University of Texas Health Science Center at Dallas   5323 Harry Hines Boulevard   Dallas   Texas 75235.
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