A Case of Surgical Treatment for Type A Aortic Dissection Associated with Proximal Descending Thoracic Aortic Aneurysm

(The Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan)

Tetsuya Niino Motomi Shiono Yukihiko Orime
Shinya Yagi Tomonori Yamamoto Syunichi Kimura
Mitsumasa Hata Shinsuke Choh Nanao Negishi
Yukiyasu Sezai
A 63-year-old man suffered from type A acute aortic dissection associated with descending thoracic aortic aneurysm and coronary stenosis. He was treated surgically 49 days after onset of acute aortic dissection. Deep hypothermic selective cerebral perfusion was carried out for brain protection. It revealed the aneurysm, 51mm in diameter, located just distal to the aortic arch, and an intimal tear of the dissection located posterior wall of aneurysm. The total arch was replaced with 24mm vascular graft and CABG (LITA-to-seg.8) was carried out. The postoperative course was uneventful and he was discharged on the 18th postoperative day.
@Jpn. J. Cardiovasc. Surg. 30: 77-79 (2001)