Genoni, Michele

Schwegler, Igor

Zientara, Alicja

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Cite this article as: Zientara A, Genoni M, Schwegler I. Type B dissection reveals a rare anomaly of left cervical arch of Haughton D type. Eur J Cardiothorac Surg2015;47:1109.Type B dissection reveals a rare anomaly of left cervicalarch of Haughton D typeAlicja Zientara*, Michele Genoni and Igor SchweglerDepartment of Cardiac and Vascular Surgery, Triemli Hospital, Zürich, Switzerland* Corresponding author. Department of Cardiac Surgery, City Hospital Triemli, Birmensdorferstrasse 497, 8063 Zürich, Switzerland. Tel: +41-44-4661650;fax: +41-44-4662745; e-mail: alicja_zientara@web.de (A. Zientara).Received 1 May 2014; received in revised form 26 June 2014; accepted 27 June 2014Keywords: Left cervical arch aneurysm • Vascular malformations • Thoracic aorta • MediastinumA 32-year-old woman with a history of lumbar-vertebral syndromepresented with acute back pain. The imaging showed a rareanomaly of a left cervical arch of Haughton D type complicated bya dissection arising from the arch aneurysm (Fig. 1) to both iliac ar-teries (Fig. 2A and B).Figure 1: Computed tomography; arrow points to the left subclavian arteryarising from the arch aneurysm (*greatest extent of 41 mm).Figure 2: (A and B) Computed tomography reconstruction of the aortic arch;arrows show the course of the dissecting membrane, which starts from the an-eurysm. LACC: left common carotid artery; RACC: right common carotid artery;TB: truncus brachiocephalicus; RSA: right subclavian artery.© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.IMAGESINCARDIO-THORACICSURGERYEuropean Journal of Cardio-Thoracic Surgery 47 (2015) 1109 IMAGES IN CARDIO-THORACIC SURGERYdoi:10.1093/ejcts/ezu304 Advance Access publication 30 July 2014

Type B dissection reveals a rare anomaly of left cervical arch of Haughton D type

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Type B dissection reveals a rare anomaly of left cervical arch of Haughton D type

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