The surgical treatment of diseases of thoracic aorta has had much better success rate in recent years compaired to the past. Aortic aneurysms or dissections that extend along the entire thoracic aorta are usually approached in two or three stages. Recently we successfully performed one-stage aortic replacement from the aortic root to the abdominal aorta in chronic DeBakey type I dissection. A 25 year-old man who had dyspnea on exertion (NYHA Fc II) and a Marfanoid feature was operated under the diagnosis of chronic type I dissection with severe aortic regurgitation. At operation, a huge ascending aorta with two intimal tearings was seen and the blood supply of intercostal arteries and right renal artery was done from the false lumen. Modified Bentall operation with total aortic replacement was done successfully, and the patient is being followed-up without major complications.
Adult ; Aorta* ; Aorta, Abdominal ; Aorta, Thoracic ; Aortic Aneurysm ; Aortic Valve Insufficiency ; Arteries ; Diagnosis ; Dyspnea ; Humans ; Renal Artery

Two cases of acute spontaneous subdural hemorrhage caused by cerebral aneurysmal rupture are presented. The patients’ chief complaints were sudden bursting headache and comatose mentality. There was no history of trauma or proclivity for spontaneous bleeding, and CT scans of the brain indicated subdural hemorrhage without remarkable subarachnoid hemorrhage. In case 1, an aneurysm at the distal segment of the right anterior cerebral artery was identified by CT angiography; the subdural hemorrhage was evacuated and the aneurysm surgically clipped. In case 2, an aneurysm at the junction of the anterior communicating artery and the right anterior cerebral artery was revealed by CT angiography and digital subtraction angiography, and Guglielmi detachable coil embolization of the aneurysm was performed.
Aneurysm ; Angiography ; Angiography, Digital Subtraction ; Anterior Cerebral Artery ; Arteries ; Brain ; Coma ; Embolization, Therapeutic ; Headache ; Hematoma, Subdural* ; Hemorrhage ; Intracranial Aneurysm* ; Rupture* ; Subarachnoid Hemorrhage ; Tomography, X-Ray Computed