Surgical repair of a dissecting aortic aneurysm with entry at proximal descending aorta through left thoracotomy--a case report

A. Mitsumaru, T. Ueda, T. Ito, T. Goto, R. Yozu, S. Kawada

Research output: Contribution to journalArticle

Abstract

A 45-year-old man underwent a distal arch and descending aortic replacement through a left thoracotomy. His chronic type A dissecting aortic aneurysm had the entry at the proximal descending aorta. After 9 years of his first dissection, he suffered from a second dissection. In computerized tomogram (CT), the ascending and descending aorta enlarged to 6.0 cm and 7.0 cm in diameter, respectively and descending aorta showed a three channeled dissection. The open proximal anastomosis technique was used under the deep hypothermic circulatory arrest (HCA) followed by selective cerebral perfusion (SCP). Surgical repair included the obliteration of the proximal false lumen at the level between the left carotid and subclavian artery. A thrombosed retrograde dissection in the ascending aorta was revealed in postoperative evaluation, and decreased in size at follow up CT.

Original languageEnglish
Pages (from-to)1163-1167
Number of pages5
Journal[Zasshi] [Journal]. Nihon Kyōbu Geka Gakkai
Volume44
Issue number8
Publication statusPublished - 1996 Aug

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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