Impending rupture of the descending aorta by enlargement of the false lumen after graft replacement with the elephant trunk technique: Report of a case
| Autor: | Teruhisa Kazui, Yukihiko Tamiya, Tomio Abe, Tokuo Koshino, Ryuji Koushima, Johji Fukada, Kiyofumi Morishita |
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| Rok vydání: | 1999 |
| Předmět: |
Aortic arch
medicine.medical_specialty Aortic Rupture Aorta Thoracic Dissection (medical) Blood Vessel Prosthesis Implantation Aortic aneurysm medicine.artery Ascending aorta medicine Humans Thoracic aorta Aortic dissection Aorta Aortic Aneurysm Thoracic business.industry General Medicine Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Radiography Aortic Dissection Treatment Outcome Descending aorta cardiovascular system Female Radiology business Follow-Up Studies |
| Zdroj: | Surgery Today. 29:1213-1217 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/bf02482276 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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