Incidental retroaortic innominate vein in a patient with acute aortic dissection

Incidental retroaortic innominate vein in a patient with acute aortic dissection

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Abstract Background Retroaortic innominate vein is a atmas wail rare anomaly.It has been reported in patients with congenital anomalies such as Tetralogy of Fallot or right aortic arch.However, isolated retroaortic innominate vein is quite rare.

Case presentation A 63-year-old man was transferred to our institution because of Stanford type A acute aortic dissection.Incidentally, we noticed that the left innominate vein coursed under the aortic arch and was directed into the gul rune d2 superior vena cava on computed tomography.We performed emergent hemiarch replacement.

Conclusions Attention must be paid to the cannulation site for venous uptake and the method of myocardial protection.