Ruptured dissecting aneurysm of the transverse arch after replacement of the descending and ascending aorta

A 28-year-old Marfan's syndrome woman was referred to our hospital because of sudden chest and back pain. She had received replacement of the descending and ascending aorta for acute aortic dissection previously in other two institutions. CT scan revealed the massive mediastinal hematoma and he...

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Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 51; no. 12; p. 989
Main Authors Sasaki, T, Kin, H, Nagumo, T, Mukaida, M, Nakajima, T, Komoda, K, Kawazoe, K
Format Journal Article
LanguageJapanese
Published Japan 01.11.1998
Subjects
Adult
Aneurysm, Dissecting - etiology
Aneurysm, Dissecting - surgery
Aorta - surgery
Aorta, Thoracic - surgery
Aortic Aneurysm, Thoracic - etiology
Aortic Aneurysm, Thoracic - surgery
Aortic Rupture - etiology
Aortic Rupture - surgery
Blood Vessel Prosthesis Implantation
Female
Humans
Marfan Syndrome - complications
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Summary:A 28-year-old Marfan's syndrome woman was referred to our hospital because of sudden chest and back pain. She had received replacement of the descending and ascending aorta for acute aortic dissection previously in other two institutions. CT scan revealed the massive mediastinal hematoma and hemothorax which suggested ruptured dissecting aneurysm of the transverse arch. Emergent total arch replacement, re-ascending replacement and aortic root plasty successfully weve performed. She recovered uneventfully although she had residual thoracoabdominal dissecting aneurysm. It was suggested that total arch replacement should be performed for Stanford A type dissection in Marfan's syndrome.
ISSN:0021-5252