Reoperation for Stanford B Aortic Dissection with Open Stent Grafting
10.4326/jjcvs.39.41
- VernacularTitle:慢性 B 型大動脈解離再手術症例に対し open stent 法を用い大動脈全置換術とした1例
- Author:
Kentaro Tamura
;
Naomichi Uchida
;
Akira Katayama
;
Miwa Sutoh
;
Naoki Murao
;
Masatsugu Kuraoka
- Publication Type:Journal Article
- Keywords:
open stent;
aortic dissection
- From:Japanese Journal of Cardiovascular Surgery
2010;39(1):41-44
- CountryJapan
- Language:Japanese
-
Abstract:
A 65-year-old man had received closure of the entry and false lumen Stanford type B acute aortic dissection via left thoratectomy 23 years previously. The patient underwent emergency graft replacement for a ruptured aneurysm of the thoraco-abdominal aorta 10 years previously. Enhanced computed tomography (ECT) revealed that the residual aortic dissection of the distal arch and the descending aorta were dilated. Reoperation via left thoracotomy usually requires a long cardiopulmonary bypass time and intraoperative bleeding. So we selected to perform open stent-grafting through median sternotomy alone, avoiding a left thoracotomy.
