Reoperation in a Case of Thoracoabdominal Aortic Pseudoaneurysm after Patch Repair of Dissecting Aortic Aneurysm
10.4326/jjcvs.38.219
- VernacularTitle:パッチ形成術後に吻合部仮性動脈瘤を合併した胸腹部大動脈瘤再手術の経験
- Author:
Yuji Sekine
;
Daisuke Nakatsuka
;
Michihito Nonaka
;
Atushi Iwakura
;
Kazuo Yamanaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(3):219-222
- CountryJapan
- Language:Japanese
-
Abstract:
A 63-year-old man had undergone patch repair of a chronic dissecting thoracoabdominal aortic aneurysm 8 years previously. Postoperative course was uneventful during 8 years after the first operation. However follow-up CT scan 8 years after demonstrated pseudoaneurysm of thoracoabdominal aorta at the anastomotic side. Reoperation for pseudoaneurysm was performed through left thoracotomy under partial cardiopulmonary bypass. Pseudoaneurysm was revealed at the proximal anastomotic side. Graft replacement for thoracoabdominal aorta and reconstruction of two pairs of intercostal arteries and the celiac artery was performed under SEP and MEP monitoring. His postoperative course was uneventful. He was discharged from our hospital 12 days after surgery. Follow-up CT scan demonstrates no recurrence of pseudoaneurysm for 1 year after surgery.
