| A Case of Localized Abdominal
Aortic Dissection Suspected to Have Simultaneously Occurred with
an Idiopathic Esophageal Rupture |
(Department of Thoracic and Cardiovascular Surgery,
Nayoro City Hospital, Nayoro, Japan)
| Keisuke Nakanishi |
Yuichi Izumi |
Katsuaki Magishi |
| Keijiro Mitsube |
Hiroshi Kubota |
|
|
A 47-year-old man suffered an idiopathic
esophageal rupture and an emergency operation was performed.
Postoperative CT revealed an aortic dissection at the level of
the infra-renal aorta and the right common iliac artery. The
maximum diameter of the aorta was 3.0cm, and that of the right
common iliac artery was 2.5cm with a patent false lumen. The
operation was done using the right extra-peritoneal approach.
When the infra-renal aorta was clamped and opened, the false
lumen was located on the right anterior wall of the aorta. There
were 3 communicating holes presumably being the points of entry
or re-entry. A bifurcation Dacron graft was put into the aorta
and the bilateral iliac artery. His postoperative course was
good and he was discharged on the 15th day after surgery. In
this case, since the patient had no history of severe pain except
for the time of esophageal rupture, the localized abdominal aortic
dissection was suspected to have simultaneously occurred with
the idiopathic esophageal rupture.
Jpn. J. Cardiovasc. Surg. 32：246 -249 (2003) |
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