| A Case of Surgical Treatment
for Type A Aortic Dissection Associated with Proximal Descending
Thoracic Aortic Aneurysm |
(The Second Department of Surgery, Nihon University
School of Medicine, Tokyo, Japan)
| Tetsuya Niino |
Motomi Shiono |
Yukihiko Orime |
| Shinya Yagi |
Tomonori Yamamoto |
Syunichi Kimura |
| Mitsumasa Hata |
Shinsuke Choh |
Nanao Negishi |
| Yukiyasu Sezai |
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A 63-year-old man suffered from
type A acute aortic dissection associated with descending thoracic
aortic aneurysm and coronary stenosis. He was treated surgically
49 days after onset of acute aortic dissection. Deep hypothermic
selective cerebral perfusion was carried out for brain protection.
It revealed the aneurysm, 51mm in diameter, located just distal
to the aortic arch, and an intimal tear of the dissection located
posterior wall of aneurysm. The total arch was replaced with
24mm vascular graft and CABG (LITA-to-seg.8) was carried out.
The postoperative course was uneventful and he was discharged
on the 18th postoperative day.
Jpn. J. Cardiovasc. Surg. 30: 77-79 (2001) |
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