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

A. Mitsumaru, T. Ueda, Tsutomu 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 1

Fingerprint

Dissecting Aneurysm
Aortic Aneurysm
Thoracotomy
Thoracic Aorta
Dissection
Aorta
Deep Hypothermia Induced Circulatory Arrest
Subclavian Artery
Carotid Arteries
Thrombosis
Perfusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Surgical repair of a dissecting aortic aneurysm with entry at proximal descending aorta through left thoracotomy--a case report. / Mitsumaru, A.; Ueda, T.; Ito, Tsutomu; Goto, T.; Yozu, R.; Kawada, S.

In: [Zasshi] [Journal]. Nihon Kyōbu Geka Gakkai, Vol. 44, No. 8, 01.08.1996, p. 1163-1167.

Research output: Contribution to journalArticle

@article{862ad519358f4e80a296e491e0e1fdae,
title = "Surgical repair of a dissecting aortic aneurysm with entry at proximal descending aorta through left thoracotomy--a case report",
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.",
author = "A. Mitsumaru and T. Ueda and Tsutomu Ito and T. Goto and R. Yozu and S. Kawada",
year = "1996",
month = "8",
day = "1",
language = "English",
volume = "44",
pages = "1163--1167",
journal = "General Thoracic and Cardiovascular Surgery",
issn = "1863-6705",
publisher = "Springer Japan",
number = "8",

}

TY - JOUR

T1 - Surgical repair of a dissecting aortic aneurysm with entry at proximal descending aorta through left thoracotomy--a case report

AU - Mitsumaru, A.

AU - Ueda, T.

AU - Ito, Tsutomu

AU - Goto, T.

AU - Yozu, R.

AU - Kawada, S.

PY - 1996/8/1

Y1 - 1996/8/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0030207535&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030207535&partnerID=8YFLogxK

M3 - Article

C2 - 8828377

AN - SCOPUS:0030207535

VL - 44

SP - 1163

EP - 1167

JO - General Thoracic and Cardiovascular Surgery

JF - General Thoracic and Cardiovascular Surgery

SN - 1863-6705

IS - 8

ER -