| One-Staged Operation for Stanford
Type A Aortic Dissection, AAE, Mitral Valve Regurgitation and
Pectus Excavatum in a Patient with Marfan's Syndrome |
| Chiho Tokunaga |
Tomoaki Jikuya* |
Wahei Mihara |
| Jun Seita |
Kazuhiro Naito |
Yasushi Terada* |
| Toshio Mitsui* |
|
|
(Department of Cardiovascular Surgery, University
of Tsukuba, Tsukuba, Japan)
|
A 22-year-old man was hospitalized
due to severe back pain having being diagnosed as Stanford type
A aortic dissection, AAE, mitral regurgitation and pectus excavatum
associated with Marfan's syndrome. A single staged operation
including ascending aortic replacement, mitral valve replacement
and sternal turnover with a rectus muscle pedicle was carried
out in order to keep the blood supply to the plastron to reduce
the risk of infection during such a long operation. By this approach,
it was found that the operative field was excellent and postoperative
hemodynamics were stable. However, frail plastron occurred because
of difficulties in keeping the patient stabilized because of
severe pain thus re-fixation was required. The necessity of strong
pain control after such an operation was also recognized.
Jpn. J. Cardiovasc. Surg. 31：278-281 (2002) |
|
