Surgical Treatment for Type IIIb Aortic Dissection in Association with a True Aortic Aneurysm.
10.4326/jjcvs.29.17
- VernacularTitle:真性胸部大動脈りゅう内にエントリーを有するＤｅＢａｋｅｙ ＩＩＩｂ型大動脈解離の手術経験
- Author:
Hirosi Yasumoto
;
Kunihide Nakamura
;
Seiji Nakashima
;
Takahiro Hayase
;
Eisaku Nakamura
;
Yasunori Fukushima
;
Toshio Onitsuka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2000;29(1):17-20
- CountryJapan
- Language:Japanese
-
Abstract:
DeBakey IIIb aortic dissection associated with thoracic aneurysm was successfully operated upon in a 59-year-old man. The patient had sudden onset of severe back pain and pain in the left lower extremity and dissection associated with thoracic aneurysm was diagnosed. During the operation, we used partial cardiopulmonary bypass support with cannulation of the pulmonary and femoral artery. The entry of the dissection was in a true aneurysm of the descending aorta, and it was replaced with a 22mm Hemashield prosthetic graft. Aortic dissection, with entry in the true aneurysm is rare and is of high risk for rupture.
