Two Stage Operation for Chronic Dissecting Thoracic Aortic Aneurysm Associated with True Lumen Obstruction of the Abdominal Aorta

(Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan, and Present addresses:Chubu Rosai Hospital*, Nagoya, Japan, Kyoto Prefectural University of Medicine**, and Japanese Red Cross Nagoya Diichi Hospital***, Nagoya, Japan)

Yasuaki Shimada* Keisuke Tanaka** Yoshimori Araki
Yuji Narita Atsuo Maekawa*** Hideki Oshima
Akihiko Usui Yuichi Ueda
A 64-year-old man who had chronic aortic dissecting aneurysm with true lumen obstruction of the abdominal aorta was referred to our hospital for surgery. He underwent total aortic arch replacement with the elephant trunk technique using an aortofemoral artery bypass as a first-stage operation. Reconstruction of the thoracic aortic descending aneurysm using the previous elephant trunk graft in a second-stage operation was feasible. His perioperative course was uneventful and he had no neurologic complications.
  Jpn. J. Cardiovasc. Surg. 40:22-26(2011)

Keywords:dissecting aortic aneurysm, true lumen obstruction, collateral flow, elephant trunk, segment operation