Document Detail

Impending rupture of the descending aorta by enlargement of the false lumen after graft replacement with the elephant trunk technique: report of a case.
MedLine Citation:
PMID:  10552345     Owner:  NLM     Status:  MEDLINE    
We report herein a case of an impending rupture of the descending aorta caused by an enlargement of the false lumen after a graft replacement using the elephant trunk technique. The patient was a 51-year-old woman who had received a graft replacement of the ascending aorta for an acute Stanford type A aortic dissection 6 years previously. An enhanced computed tomographic scan and digital subtraction angiography revealed pseudoaneurysms at the proximal and distal anastomotic site, and a residual dissection of the aortic arch. A graft replacement of the ascending aorta to the aortic arch was performed with the distal site using the elephant trunk technique. Five days after the operation, massive bleeding from the drainage tube occurred. A chest enhanced computed tomographic scan suggested an impending rupture of the descending aorta caused by an enlargement of the false lumen. A graft replacement of the descending aorta was carried out. Postoperatively she had no complications, and digital subtraction angiography showed an excellent reconstruction of the thoracic aorta. One month after the second operation, she was discharged from hospital.
T Koshino; T Kazui; Y Tamiya; J Fukada; R Koushima; K Morishita; T Abe
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Surgery today     Volume:  29     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1999  
Date Detail:
Created Date:  1999-12-07     Completed Date:  1999-12-07     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1213-7     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8556, Japan.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  surgery*
Aorta, Thoracic / radiography,  surgery
Aortic Aneurysm, Thoracic / diagnosis,  surgery*
Aortic Rupture / diagnosis,  etiology*,  surgery
Blood Vessel Prosthesis / adverse effects*
Blood Vessel Prosthesis Implantation / adverse effects,  methods*
Follow-Up Studies
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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