Reoperation for Stanford B Aortic Dissection with Open Stent Grafting
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(Department of Cardiovascular Surgery, Hiroshima City Asa Hospital, Hiroshima, Japan)
Kentaro Tamura |
Naomichi Uchida |
Akira Katayama |
Miwa Sutoh |
Naoki Murao |
Masatsugu Kuraoka |
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A 65-year-old man had received closure of the entry and false lumen Stanford type B acute aortic dissection via left thoratectomy 23 years previously. The patient underwent emergency graft replacement for a ruptured aneurysm of the thoraco-abdominal aorta 10 years previously. Enhanced computed tomography(ECT)revealed that the residual aortic dissection of the distal arch and the descending aorta were dilated. Reoperation via left thoracotomy usually requires a long cardiopulmonary bypass time and intraoperative bleeding. So we selected to perform open stent-grafting through median sternotomy alone, avoiding a left thoracotomy.
Jpn. J. Cardiovasc. Surg. 39:41-44(2010)
Keywords:open stent, aortic dissection
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