| Three Cases of Chronic Type A
Aortic Dissection with Connective Tissue Disease |
(Department of Cardiovascular Surgery, Nakadori
General Hospital, Akita, Japan and Department of Cardiovascular
Surgery, Jikei University School of Medicine*, Tokyo, Japan)
| Yoshihiro Ko* |
Tadashi Okubo |
Ryouhei Hoshino |
| Yoshiyuki Kamigaki |
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We performed a modified Bentall
operation and aortic arch replacement simultaneously in three
cases of chronic type A aortic dissection with connective tissue
disease. Two of the subjects were men. Ages ranged from 37 to
48 years. There were two cases of Marfan's syndrome, and one
case of cystic medial necrosis. All patients had annuloaortic
ectasia (AAE), severe aortic regurgitation (AR)and marked dilatation
at the base and arch of the aorta with extensive dissecting lesions.
Widespread, progressive vascular lesions are often seen, especially
among cases of dissecting aneurysm of the aorta with connective
tissue disease, and there is a high probability that new vascular
lesions and valvular diseases will result after surgery. Therefore,
cases must be followed, keeping in mind the possibility of early
extended aortic operation and secondary surgery.
Jpn. J. Cardiovasc. Surg. 30: 51-54 (2001) |
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