A Case of Inflammatory Aneurysm of the Distal Aortic Arch with Coronary Artery Disease.
10.4326/jjcvs.32.90
- VernacularTitle:冠動脈疾患を合併した炎症性遠位弓部大動脈りゅうの１手術例
- Author:
Seijiro Yoshida
;
Kei Sakuma
;
Katsuhiko Oda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2003;32(2):90-93
- CountryJapan
- Language:Japanese
-
Abstract:
Inflammatory aneurysms of the thoracic aorta are extremely uncommon. We present a 58 year-old man with an inflammatory aneurysm of the aortic arch. He was admitted because of chest pain. Coronary angiographies showed severe stenosis of the left anterior descending artery and computed tomography revealed an aneurysm of the distal aortic arch. We conducted combined graft replacement of the aortic arch and coronary artery bypass grafting. During the operation, the patient was noted to have extensive peri-aneurysmal fibrosis and inflammation with a thick aneurysmal wall. To avoid excessive hemorrhage, distal anastomosis was performed using the graft inclusion technique. He was discharged 35 days after operation without any major complication. Pathological evaluation of the aneurysmal wall revealed destruction of the mural structure and inflammatory cell infiltration in the adventitia.
