| Successful Treatment of Annulo-aortic
Ectasia Associated with DeBakey's Type IIIb Dissecting Aortic
Aneurysm |
(Department of Cardiovascular Surgery, Jikei University
School of Medicine, Kashiwa Hospital, Chiba, Japan)
| Asatoshi Mizuno |
Shigeki Horikoshi |
Hideto Emoto |
| Isao Aoki |
Hiroyuki Suzuki |
|
|
A 52-year-old man with annulo-aortic
ectasia and DeBakey's type IIIb dissecting aortic aneurysm was
successfully treated. Aortography showed moderate to severe aortic
regurgitation and enlargement of the ascending aorta, and CT
showed a huge type IIIb dissecting aortic aneurysm. We scheduled
a two-staged operation because dissection occurred 6 months previously
and ECG showed severe LVH and ST-T change. The aortic root replacement
using Bentall's procedure was performed, which was followed by
arch replacement with an elephant trunk prosthesis on distal
aorta. The entry in the distal aortic arch was covered by an
elephant trunk prosthesis and postoperative diagnostic images
showed thrombo-occlusion of the false lumen in the descending
aorta. This operation was safe and might be a useful method for
annulo-aortic ectasia with type IIIb dissecting aortic aneurysm.
Jpn. J. Cardiovasc. Surg. 30: 262-264 (2001) |
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