Two Stage Operation for Chronic Dissecting Thoracic Aortic Aneurysm Associated with True Lumen Obstruction of the Abdominal Aorta
10.4326/jjcvs.40.22
- VernacularTitle:腹部大動脈真腔閉塞を伴う慢性解離性胸部大動脈瘤に対する手術治験例
- Author:
Yasuaki Shimada
;
Keisuke Tanaka
;
Yoshimori Araki
;
Yuji Narita
;
Atsuo Maekawa
;
Hideki Oshima
;
Akihiko Usui
;
Yuichi Ueda
- Publication Type:Journal Article
- Keywords:
dissecting aortic aneurysm;
true lumen obstruction;
collateral flow;
elephant trunk;
segment operation
- From:Japanese Journal of Cardiovascular Surgery
2011;40(1):22-26
- CountryJapan
- Language:Japanese
-
Abstract:
A 64-year-old man who had chronic aortic dissecting aneurysm with true lumen obstruction of the abdominal aorta was referred to our hospital for surgery. He underwent total aortic arch replacement with the elephant trunk technique using an aortofemoral artery bypass as a first-stage operation. Reconstruction of the thoracic aortic descending aneurysm using the previous elephant trunk graft in a second-stage operation was feasible. His perioperative course was uneventful and he had no neurologic complications.