Combination of Ascending Aortic Replacement and Less Invasive Quick Open Stenting for Distal Aortic Arch Aneurysm with a Penetrating Atherosclerotic Ulcer

Isamu Yoshitake＊	Mitsumasa Hata＊＊	Tsutomu Hattori＊
Haruka Kimura＊

（Department of Cardiovascular Surgery, Sagamiharakyodo Hospital＊, Sagamihara, Japan, Department of Cardiovascular Surgery, Nihon University Hospital＊＊, Tokyo, Japan）

A 76-year-old man with hypertension had an enlarged distal aortic arch aneurysm with a maximum dimension of 55mm. Coronary computed tomography angiogram showed none of stenosis in a coronary artery, but penetrating atherosclerotic ulcer at ascending aorta. We performed open surgical repair combination of ascending aortic replacement and less invasive quick open stenting（LIQS）to reduce operative risk, because of his advanced age. The operation was carried out without any complications（Operation time:242min, Cardiopulmonary bypass time:154min, Aortic cross clamp time:71min). The patient’s postoperative course was unremarkable, and he was discharged 19 days after surgery. LIQS is effective to reduce operative risk for high-risk patients, and it can be easily combined with other procedures.

 

Jpn. J. Cardiovasc. Surg. 45:139-143（2016）

Keywords：open stent graft;frozen elephant trunk;penetrating atherosclerotic ulcer;distal arch aortic aneurysm;minimally invasive sugery