A Case of Aortitis Syndrome which Required a Bentall Reoperation after Total Arch Replacement

DOI 6 References
  • Sugita Hiroaki
    Department of General and Cardiothoracic Surgery, Kanazawa University
  • Iino Kenji
    Department of General and Cardiothoracic Surgery, Kanazawa University
  • Ohtake Hiroshi
    Department of General and Cardiothoracic Surgery, Kanazawa University
  • Koshida Yoshinao
    Department of General and Cardiothoracic Surgery, Kanazawa University
  • Tomita Shigeyuki
    Department of General and Cardiothoracic Surgery, Kanazawa University
  • Noda Yukihiro
    Department of General and Cardiothoracic Surgery, Kanazawa University
  • Watanabe Go
    Department of General and Cardiothoracic Surgery, Kanazawa University

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  • 大動脈弓部全置換術後にBentall手術を行った大動脈炎症候群の1例

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Description

A 41-year-old woman with aortitis syndrome underwent total arch replacement for an aneurysm of the ascending aorta and aortic arch in February 2010. Her postoperative course was good, but approximately 7 months later a false aneurysm was detected at the site of the proximal and distal graft anastomoses. Echocardiography showed dilation of the Valsalva sinus and severe aortic valve regurgitation. Therefore, we performed reoperation with the Bentall procedure for the false aneurysm of the ascending aorta where the proximal anastomosis was located, and for her aortic regurgitation. We subsequently added thoracic endovascular aortic repair (TEVAR) for the distal false aneurysm where the distal anastomosis was located. Her second postoperative course was good. We report a successful hybrid operation in two stages with a Bentall reoperation and TEVAR.

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