A case report of a successful staged operation for a patinet with annuloaortic ectasia and debakey type II+IIIb aortic dissection associated with Marfan's syndrome.
10.4326/jjcvs.18.325
- VernacularTitle:Ｍａｒｆａｎ症候群に伴ったａｎｎｕｌｏａｏｒｔｉｃ ｅｃｔａｓｉａ，ＤｅＢａｋｅｙ ＩＩ型解離＋ＩＩＩｂ型解離性大動脈りゅうに対するＣａｂｒｏｌ手術後の全下行大動脈置換術の１治験例
- Author:
Takahiko MISUMI
;
Kozo KAWADA
;
Hankei SHIN
;
Ryuichi TAKAHASHI
;
Tadashi INOUE
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1988;18(3):325-329
- CountryJapan
- Language:Japanese
-
Abstract:
Total correction for a chronic aortic dissection, producing progressive enlargement of the false lumen of the aorta involving wide range of aorta and aortic manifestation of Marfan's syndrome is a very difficult procedure. However, with the recent development in surgical techniques and management, it became possible to replace total or subtotal aorta with the prosthetic graft. Recently, we treated a 24 y/o male patient with annuloaortic ectasia, DeBakey type II+IIIb aortic dissection, and obstruction of right common iliac artery, associated with Marfan's syndrome with a two-staged operation. For the first stage, we performed Cabrol's procedure on his lesions in ascending aorta. About 2 years after that, for the second stage, replacement of total descending and abdominal aorta was pertformed.
