Combination of Ascending Aortic Replacement and Less Invasive Quick Open Stenting for Distal Aortic Arch Aneurysm with a Penetrating Atherosclerotic Ulcer
10.4326/jjcvs.45.139
- VernacularTitle:上行大動脈に PAU を合併した高齢者遠位弓部大動脈瘤手術に対する工夫
- Author:
Isamu Yoshitake
;
Mitsumasa Hata
;
Tsutomu Hattori
;
Haruka Kimura
- Publication Type:Journal Article
- Keywords:
open stent graft;
frozen elephant trunk;
penetrating atherosclerotic ulcer;
distal arch aortic aneurysm;
minimally invasive sugery
- From:Japanese Journal of Cardiovascular Surgery
2016;45(3):139-143
- CountryJapan
- Language:Japanese
-
Abstract:
A 76-year-old man with hypertension had an enlarged distal aortic arch aneurysm with a maximum dimension of 55 mm. Coronary computed tomography angiogram showed none of stenosis in a coronary artery, but penetrating atherosclerotic ulcer at ascending aorta. We performed open surgical repair combination of ascending aortic replacement and less invasive quick open stenting (LIQS) to reduce operative risk, because of his advanced age. The operation was carried out without any complications (Operation time : 242 min, Cardiopulmonary bypass time : 154 min, Aortic cross clamp time : 71 min). The patient's postoperative course was unremarkable, and he was discharged 19 days after surgery. LIQS is effective to reduce operative risk for high-risk patients, and it can be easily combined with other procedures.
