| Surgical Stent Graft Operation
for Chronic Type A Associated with Acute Type B Dissection |
(Cardiovascular Surgery Department, Nagoya Tokushukai
General Hospital, Kasugai, Japan)
| Takeki Ohashi |
Nobuhiro Sakamoto |
|
|
A 57-year-old female was admitted
for severe back pain. CT, aortography and transesophageal echocardiography
showed enlargement of the ascending aorta with large entry and
dissection of the descending thoracic and abdominal aorta with
entry located at the distal arch. She had left leg ischemia due
to a narrow true lumen. Using cardiopulmonary bypass with circulatory
arrest and cervical perfusion, the ascending aorta and arch were
replaced and three cervical vessels were reconstructed. A stent
graft was inserted into the descending aorta and anastomosed
to the distal end of the graft and native aorta. There were no
postoperative complications. Postoperative CT showed no leakage
at the stent graft attachment. This surgical stent graft operation
for chronic type A and acute type B dissection was a relatively
minimal invasive and effective method.
Jpn. J. Cardiovasc. Surg. 30: 271-273 (2001) |
|
