| Surgical Treatment
for Type IIIb Aortic Dissection in Association with a True Aortic
Aneurysm |
(Second Department of Surgery, Miyazaki Medical
College, Miyazaki, Japan and Miyazaki Medical Association Hospital,
Miyazaki, Japan)
| Hirosi Yasumoto |
Kunihide Nakamura |
Seiji Nakashima |
| Takahiro Hayase |
Eisaku Nakamura |
Yasunori Fukushima |
| Toshio Onitsuka |
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|
DeBakey IIIb aortic dissection associated
with thoracic aneurysm was successfully operated upon in a 59-year-old
man. The patient had sudden onset of severe back pain and pain
in the left lower extremity and dissection associated with thoracic
aneurysm was diagnosed. During the operation, we used partial
cardiopulmonary bypass support with cannulation of the pulmonary
and femoral artery. The entry of the dissection was in a true
aneurysm of the descending aorta, and it was replaced with a
22mm Hemashield prosthetic graft. Aortic dissection, with entry
in the true aneurysm is rare and is of high risk for rupture.
@Jpn. J. Cardiovasc. Surg. 29: 17-20 (2000) |
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