Total arch replacement following partial replacement of the descending aorta for acute type A aortic dissection: report of a case

A 42-year-old man was admitted to our hospital due to severe back pain. A computed tomographic scan revealed aortic dissection from the ascending aorta to the left common iliac artery. His blood pressure was well controlled untill he went into shock 21 hours after the onset. He was given a diagnosis...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 54; no. 10; p. 825
Main Authors Shinonaga, M, Kanazawa, H, Nakazawa, S, Yoshiya, K, Yamazaki, Y
Format Journal Article
LanguageJapanese
Published Japan 01.09.2001
Subjects
Acute Disease
Adult
Aneurysm, Dissecting - surgery
Aorta, Thoracic - surgery
Aortic Aneurysm - surgery
Aortic Rupture - surgery
Blood Vessel Prosthesis Implantation
Humans
Male
Thoracic Surgical Procedures - methods
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Summary:A 42-year-old man was admitted to our hospital due to severe back pain. A computed tomographic scan revealed aortic dissection from the ascending aorta to the left common iliac artery. His blood pressure was well controlled untill he went into shock 21 hours after the onset. He was given a diagnosis of aortic rupture to the left pleural cavity by echocardiography and chest X-ray. He underwent emergent left thoracotomy under femoro-femoral bypass. We found a rupture of the descending aorta 3 cm above the diaphragma and replaced the ruptured segment with a woven Dacron graft. On postoperative day 9, we performed total arch replacement utilizing deep hypothermia and selective cerebral perfusion. We located the entrance tear in the aortic arch. His postoperative course was uneventful and he showed no neurological deficit. He was discharged from the hospital on postoperative day 36.
ISSN:0021-5252