Pseudocoarctation of the aorta associated with aneurysm formation.
10.4326/jjcvs.19.17
- VernacularTitle:弓部大動脈りゅうを合併した偽性大動脈縮窄症の１手術例
- Author:
Hideki YAO
;
Yoshihiro SHIMIZU
;
Shigefumi SUEHIRO
;
Kouzi KITAI
;
Kazushige INOUE
;
Sukemasa MUKAI
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1989;19(1):17-20
- CountryJapan
- Language:Japanese
-
Abstract:
A 16-year-old female who complained of hoarseness and left back pain. An abnormal shadow in the left superior mediastinum was observed in chest X-ray films. Thoracic aortogram revealed elongations of the aortic arch and two sacculated aneurysms located in the minor curvature of the arch. She was operated by median sternotomy and left collar incision. The left vagal nerve laid between the two aneurysms. The proximal aneurysmal wall seemed to be of normal thickness, but the distal aneurysmal wall was so thin that the intraluminal blood stream was visible. Aneurysmectomy and insertion of a Dacron patch were successfully performed under cardio-pulmonary bypass with selective cereberal perfusion. The postoperative course was uneventful.
