Document Detail

Successful surgical treatment of acute type A aortic dissection complicated with distal arch aneurysm.
MedLine Citation:
PMID:  21030929     Owner:  NLM     Status:  MEDLINE    
We report successful surgical treatment in a case of acute type A aortic dissection complicated with distal arch aneurysm. A 74-year-old man presenting with sudden posterior headache was found by enhanced computed tomography to have an ascending aortic dissection (type A) and a distal arch aneurysm of 69 mm in maximal minor axis diameter. We performed total arch replacement, employing a four-branched graft and elephant trunk anastomosis through a median sternotomy. Because the aneurysm was not effectively thrombo-excluded, we performed descending aorta replacement using the elephant trunk through the left fifth intercostal space on the 44th postoperative day. The postoperative course was uneventful.
Kengo Nishimura; Iwao Taniguchi; Azumi Kimura; Shigeto Miyasaka; Hiroyuki Maeta; Keisuke Morimoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  16     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2011-04-21     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  370-2     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Tottori Central Hospital, Ezu, Tottori, Japan.
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MeSH Terms
Aneurysm, Dissecting / surgery
Aorta, Thoracic / surgery*
Aortic Aneurysm / surgery
Blood Vessel Prosthesis Implantation

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

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