A Case of Abdominal Aortic Aneurysm Involved by Acute Type B Dissection Treated with One-Stage OPCAB and Y-Graft Replacement
10.4326/jjcvs.34.55
- VernacularTitle:急性ＩＩＩｂ型大動脈解離が腹部大動脈りゅうに進展し，待機的ＯＰＣＡＢとＹ‐グラフト置換術を同時施行した１例
- Author:
Yoshimori Araki
;
Michio Sasaki
;
Toshiaki Akita
;
Akihiko Usui
;
Kazuo Nishimoto
;
Masayoshi Kobayashi
;
Kimihiro Komori
;
Yuichi Ueda
- Publication Type:Journal Article
- Keywords:
OPCAB
- From:Japanese Journal of Cardiovascular Surgery
2005;34(1):55-58
- CountryJapan
- Language:Japanese
-
Abstract:
An 83-year-old man had acute type B aortic dissection combined with a large athelosclerotic abdominal aortic aneurysm (AAA) over 8cm in diameter. The dissection advanced into the wall of the AAA. The patient was treated with strict medical therapy for two months and successfully underwent an early elective abdominal aortic repair concomitant with off-pump aortocoronary bypass grafting. This strategy of meticulous medical management may improve clinical outcome for the acute phase in such rare cases.
