A Case of Replacement of the Chronic Dissecting Descending Aortic Aneurysm after the Frozen Elephant Trunk Technique
- VernacularTitle:慢性解離性胸部大動脈瘤に対して frozen elephant trunk 法を行った後,二期的に下行置換術を施行した1例
- Author:
Masahiro Inagaki
;
Toshiya Tokui
;
Yasumi Maze
;
Kouji Hirono
;
Taro Fujii
- Keywords: frozen elephant trunk technique; replacement of the descending aorta; chronic dissecting thoracic aortic aneurysm
- From:Japanese Journal of Cardiovascular Surgery 2017;46(6):316-319
- CountryJapan
- Language:Japanese
-
Abstract:
A-54-year-old man with an extensive dissecting thoracic aortic aneurysm underwent staged surgery which consisted of preceding total aortic arch replacement with the frozen elephant trunk technique using J Graft Open Stent Graft, followed by open descending aorta repair. During the second operation, a Dacron graft was anastomosed directly to the stent graft and the true lumen thus, the true lumen could be preserved around the stent graft. We herein discuss our approach in this case, focusing on prevention of bleeding from the elephant trunk.