A Case of Partial Arch and Descending Aortic Replacement for a Ruptured Type B Acute Aortic Dissection
10.4326/jjcvs.38.64
- VernacularTitle:B 型急性大動脈解離破裂に対する部分弓部下行大動脈置換術
- Author:
Ko Shibata
;
Haruo Makuuchi
;
Toshiya Kobayashi
;
Masahide Chikada
;
Hirosi Murakami
;
Takamaro Suzuki
;
Hirokuni Ono
;
Kiyoshi Chiba
;
Tokuichiro Nagata
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(1):64-66
- CountryJapan
- Language:Japanese
-
Abstract:
Ruptured type B acute aortic dissection (AAD) is a life-threatening condition, in which surgical treatment most often yields unsatisfactory results. We report a case of a ruptured type B AAD in a 67-year-old man detected on computed tomography that required a partial aortic arch replacement with reconstruction of the left subclavian artery with adjunct deep hypothermic circulatory arrest (DHCA). Although the patient had a postoperative stroke, he recovered markedly with rehabilitation. DHCA and open proximal anastomosis are useful for the surgical treatment of type B AAD, however, an elaborate strategy to prevent an intraoperative cerebral embolism is especially important.
