Reoperation for Stanford B Aortic Dissection with Open Stent Grafting

(Department of Cardiovascular Surgery, Hiroshima City Asa Hospital, Hiroshima, Japan)

Kentaro Tamura Naomichi Uchida Akira Katayama
Miwa Sutoh Naoki Murao Masatsugu Kuraoka
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