| Autor: |
De Filippo C; Department of Cardiovascular Surgery, Giovanni Paolo II Center for High Technology Research and Education in Biomedical Sciences, Sacro Cuore Catholic University, Campobasso, Italy., Modugno P, Inglese L, Rossi M, Centritto E, Sallustio G, Calvo E, Spatuzza P, Testa N, Alessandrini F |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of cardiovascular surgery [J Cardiovasc Surg (Torino)] 2011 Jun; Vol. 52 (3), pp. 395-8. Date of Electronic Publication: 2008 Oct 24. |
| Abstrakt: |
A 49-year-old operated for aortic coartaction patient presented with thoracic and ascending aortic aneurysm. He was asymptomatic. Angio-magnetic resonance nuclear scan and angiography revealed an ascending aortic aneurysm (5.2 cm), bicuspid aortic valve, 6-cm proximal descending aortic pseudoaneurysm at the site of the previous operation with involvement of the left subclavian artery. Restenosis at the original site of coarctation and aortic arch hypoplasia distally to the brachiocefalic trunk was also found. The operation performed was a "modified Bentall - De Bono". The pseudoaneurysm was not accessible through median sternotomy due to the massive lung adhesions following the previous surgery. The left common carotid artery was explanted from the aortic arch and connected with a graft to the ascending aortic conduit. A proximal neck suitable for landing zone of the endovascular stent-graft was then established. The postoperative course was uneventful. After two weeks, the patient was readmitted. The exclusion of the thoracic descending aortic pseudoaneurysm by endovascular implantation of the stent-graft prosthesis was performed. The left subclavian artery was excluded because left vertebral artery was closed. The patient did not develop hand claudicatio. The procedure was successful. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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