A Case of Abdominal Aortic Aneurysm Involved by Acute Type B Dissection Treated with One-Stage OPCAB and Y-Graft Replacement

(Department of Cardio-Thoracic Surgery and Department of Vascular Surgery*, Nagoya University Graduate School of Medicine, Nagoya, Japan)

Yoshimori Araki Michio Sasaki Toshiaki Akita
Akihiko Usui Kazuo Nishimoto* Masayoshi Kobayashi*
Kimihiro Komori* Yuichi Ueda
An 83-year-old man had acute type B aortic dissection combined with a large athelosclerotic abdominal aortic aneurysm (AAA) over 8cm in diameter. The dissection advanced into the wall of the AAA. The patient was treated with strict medical therapy for two months and successfully underwent an early elective abdominal aortic repair concomitant with off-pump aorto-coronary bypass grafting. This strategy of meticulous medical management may improve clinical outcome for the acute phase in such rare cases.
@Jpn. J. Cardiovasc. Surg. 34: 55-58 (2005)