Successful Emergency Operation for a Ruptured Anastomotic False Aneurysm of Atypical Coarctation Due to Aortitis Syndrome: Report of a Case.
10.4326/jjcvs.20.1326
- VernacularTitle:異型大動脈縮窄症バイパス術後の胸部下行大動脈吻合部動脈りゅう破裂症例に対するｔｈｒｏｍｂｏｅｘｃｌｕｓｉｏｎ法の１例
- Author:
Yoshiaki MORI
;
Tetsuo HADAMA
;
Hidemi TAKASAKI
;
Keiji OKA
;
Osamu SHIGEMITSU
;
Tatsunori KIMURA
;
Shinji MIYAMOTO
;
Kouichi TANAKA
;
Michitoshi ICHIMANDA
;
Yuzou UCHIDA
;
Joji SHIRABE
- Publication Type:Journal Article
- Keywords:
aortitis syndrome;
atypical coarctation;
anastomotic false aneurysm;
extra-anatomical bypass;
thromboexclusion
- From:Japanese Journal of Cardiovascular Surgery
1991;20(7):1326-1330
- CountryJapan
- Language:Japanese
-
Abstract:
A 37-year-old female was admitted to our hospital because of haemoptysis. She had undergone descending thoracic aorta-abdominal aorta bypass grafting 11 years previously. Then the diagnosis was atypical coarctation due to aortitis syndrome. No follow up had been continued. Angiogram and CTscan disclosed a false aneurysm at the anastomotic site of the descending thoracic aorta, which was ruptured into the left lung. An emergency operation was performed. A new extra-anatomical ascending aorta abdominal aorta bypass was constructed using 16mm Dacron prosthesis, and three permanent clamps were employed for thromboexclusion of the descending aorta, previous bypass graft and the ruptured aneurysm. At present, three years after the operation, she is leading normal life with medication of hypotensive drugs. Pathogenesis, surgical approach and long-term postoperative care were discussed.
