Single-Stage Repair of Thoracic Aortic Aneurysm Associated with Aortic Stenosis and Pseudocoarctation by Means of the Clamshell Approach
10.4326/jjcvs.43.336
- VernacularTitle:大動脈弁狭窄症および偽性大動脈縮窄症に合併した胸部大動脈瘤に対して clamshell 切開により同時手術を施行した1例
- Author:
Takanori Shibukawa
;
Yuhya Tauchi
;
Naoki Okuda
;
Mitsutomo Yamada
;
Hisashi Satoh
;
Hikaru Matsuda
- Publication Type:Journal Article
- Keywords:
aortic stenosis;
pseudocoarctation;
thoracic aortic aneurysm;
clamshell incision
- From:Japanese Journal of Cardiovascular Surgery
2014;43(6):336-339
- CountryJapan
- Language:Japanese
-
Abstract:
A 64-year old man was admitted to our hospital with a diagnosis of aortic stenosis. Pre-operative chest CT revealed pseudocoarctation of the aorta with a hypoplastic aortic arch, elongation and kinking of the aortic arch and proximal descending aorta. There was also a large aneurysm from the distal arch to descending aorta. We performed a single-stage repair of the aortic lesion from the ascending to the descending aorta with aortic valve replacement. For the surgical approach, transverse clamshell incision was applied safely. Concomitant aortic valve replacement in surgical repair of pseudocoarctation and thoracic aneurysm was rare, and clamshell incision seemed beneficial in such single-stage repair from the aortic root to the descending aorta.
