Internal Felt-reinforced Patch-plasty for Dissecting Aortic Aneurysm.
10.4326/jjcvs.21.250
- VernacularTitle:解離性大動脈りゅうに対するフェルト内挿補強パッチ形成術
- Author:
Shin ISHIMARU
;
Kenji KAWACHI
;
Tsuyoshi SHIMIZU
;
Hiroshi SUDO
;
Naoki KONAGAI
;
Tetsuzo HIRAYAMA
;
Kinichi FURUKAWA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(3):250-254
- CountryJapan
- Language:Japanese
-
Abstract:
An internal felt-reinforced patch-plasty was performed in 11 patients with dissecting aortic aneurysm (DeBakey type I: 4 cases, type II: 1 case, type III: 5 cases, aortic arch dissection: 1 case). The aortic cross-clamp time was 84±19 min on the average. The initial tear of the aortic intima was closed on 10 patients. Minor leakage through a felt inserted in the false lumen was observed in one patient of type I. There was no operation-related death except one patient of type III who died from arrythmia encountered following termination of centrifugal pump bypass. Thrombotic occlusion of the false lumen developed in the ascending aorta in type I and II cases, and in the desceding aorta in type III one month after operation. The false lumen localized in the aortic arch was completely occluded by thromi. Postoperative course was excellent in all patients after 16 months on the average. Internal felt-reinforced patch-plasty is a simple and reliable procedure for closing the intial tear of dissecting aortic aneurysms.
