Ochiai Y, Kurisu K, Kajiwara T, Kumeda H, Tominaga R. Extended total arch replacement for type B aortic dissection with ascending aneurysm following healed aortic dissection.
ACTA ACUST UNITED AC 2004;
52:81-3. [PMID:
14997978 DOI:
10.1007/s11748-004-0090-3]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
We describe a case of type B aortic dissection with large ascending aortic aneurysm occurring 12.8 years after aortic root replacement (Cabrol procedure) in a non-Marfan patient with cystic medial necrosis of the aorta. We have successfully performed an extended total aortic arch replacement using a four-branched graft through the "L-incision" approach (a combination of a left anterior thoracotomy and upper half median sternotomy). Of note, a histological specimen from the aneurysmal ascending aortic wall revealed "healed aortic dissection" with fibrous tissue replacing the media and intima in addition to multiple foci of cystic medial necrosis.
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