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[Total Arch Replacement with Open Stent Grafting for Chronic Dissecting Aortic Aneurysm with Aberrant Right Subclavian Artery:Report of a Case].
- Source :
-
Kyobu geka. The Japanese journal of thoracic surgery [Kyobu Geka] 2023 Aug; Vol. 76 (8), pp. 646-651. - Publication Year :
- 2023
-
Abstract
- A 59-year-old man was referred to our hospital for surgery for a dissecting aortic aneurysm with an aberrant right subclavian artery( ARSA). He had a history of surgery for atrial septal defect at the age of 3 and developed Stanford type B aortic dissection at the age of 53. The maximum diameter of the aortic aneurysm was 68 mm, and the entry was located close to the ARSA origin. We established cardiopulmonary bypass using the femoral artery and vein and performed a median re-sternotomy. We performed total arch replacement with the open stent-grafting technique. The ARSA was ligated from the right thoracic cavity. Three arch branches were reconstructed in situ, and the right axillary artery was bypassed with a 9 mm Dacron graft. Six months after that operation, reduction of the false lumen was observed. This strategy is considered to be effective for chronic aortic dissection with ARSA.
- Subjects :
- Male
Humans
Middle Aged
Stents
Subclavian Artery diagnostic imaging
Subclavian Artery surgery
Aorta, Thoracic diagnostic imaging
Aorta, Thoracic surgery
Aortic Aneurysm surgery
Aortic Dissection complications
Aortic Dissection diagnostic imaging
Aortic Dissection surgery
Cardiovascular Abnormalities surgery
Aortic Aneurysm, Thoracic complications
Aortic Aneurysm, Thoracic diagnostic imaging
Aortic Aneurysm, Thoracic surgery
Blood Vessel Prosthesis Implantation methods
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0021-5252
- Volume :
- 76
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Kyobu geka. The Japanese journal of thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 37500555