A Case of Total Aortic Arch Graft Replacement for Recurrent Distal Aortic Arch Aneurysm.
10.4326/jjcvs.27.162
- VernacularTitle:再発性遠位弓部嚢状大動脈りゅうに対する弓部大動脈全置換術
- Author:
Tokuo Koshino
;
Teruhisa Kazui
;
Yukihiko Tamiya
;
Johji Fukada
;
Ryuji Koushima
;
Tomio Abe
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(3):162-165
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of successful graft replacement of the total aortic arch using selective cerebral perfusion for recurrent distal aortic arch aneurysm (DAAA). A 72-year-old man who had a history of patch aortoplasty for saccular DAAA was admitted to our hospital. Computed tomography and digital subtraction angiography showed recurrent saccular DAAA and coronary angiography revealed 90% stenosis of the first diagonal branch, resulting in a diagnosis of recurrent DAAA with coronary artery stenosis. A graft replacement of the total aortic arch with the aid of selective cerebral perfusion and coronary artery bypass grafting to the first diagonal branch was carried out. Postoperatively, he had no cerebral complications. One year after the operation, he had an operation for an abdominal aortic aneurysm. The patient is now leading a normal life.
