Total Aortic Arch Replacement with Open Stent-Grafting of Descending Thoracic Aorta for Chronic Type A Dissecting Aneurysm after Replacement of the Ascending Thoracic Aorta - A Case Report -

(Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan and Department of Cardiovascular Surgery, Mito National Hospital*, Mito, Japan)

Junetsu Akasaka Yusuke Tsuru* Yoshio Nitta
Goro Takahashi Koichi Tabayashi
A 74-year-old woman underwent ascending aortic replacement due to acute type A dissection 2 years previously. She received total aortic arch replacement with open stent grafting of the descending thoracic aorta for enlargement of the residual aortic dissection in the aortic arch and descending thoracic aorta. Operative method and, intra- and post-operative protective method of spinal cord are reported and discussed.
@Jpn. J. Cardiovasc. Surg. 32F168 -171 (2003)