1.Ankylosing Spondylitis with Complete Atrioventricular Block and Aortic Regurgitation
Shinya Fukui ; Masataka Mitsuno ; Mitsuhiro Yamamura ; Hiroe Tanaka ; Masaaki Ryomoto ; Tetsuya Kajiyama ; Ayaka Satoh ; Yuji Miyamoto
Japanese Journal of Cardiovascular Surgery 2015;44(4):241-244
Ankylosing spondylitis is chronic, progressive, inflammatory disease involving the spine, peripheral joints, and periarticular structures. Cardiac abnormalities associated with ankylosing spondylitis are well recognized, but a case with DDD pacemaker implantation for complete atrioventricular block and aortic valve replacement for aortic regurgitation has not been previously reported. We report a case of a 66-year-old man with ankylosing spondylitis who was successfully treated by DDD pacemaker implantation for complete atrioventricular block and aortic valve replacement for severe aortic regurgitation.
2.Debranching Thoracic Endovascular Aortic Repair for Kommerell's Diverticulum with Right-Sided Aortic Arch
Takaya NAKAGAWA ; Hajime MATSUE ; Yasuo SUEHIRO ; Hisashi UEMURA ; Ayaka SATOH ; Hisashi SATOH
Japanese Journal of Cardiovascular Surgery 2023;52(3):181-184
We report a case of debranching thoracic endovascular aortic repair for Kommerell's diverticulum with right-sided aortic arch in 78-year-old women. The computed tomography (CT) demonstrated Kommerell's diverticulum with a right-sided aortic arch and the trachea and esophagus were compressed by the diverticulum. The diverticulum had a maximum diameter of 32 mm, and surgical intervention was chosen because of the aneurysmal change and the possibility of rupture. We performed endovascular aortic repair for Kommerell's diverticulum with a right-sided aortic arch because of low lung function and low frailty. The patient was discharged on the 21st postoperative day. There was no evidence of aortic event during 2 years follow up.