Total Aortic Arch Replacement with Open Stent-Grafting of Descending Thoracic Aorta for Chronic Type A Dissecting Aneurysm after Replacement of the Ascending Thoracic Aorta-A Case Report-

  • Akasaka Junetsu
    Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University
  • Tsuru Yusuke
    Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University Department of Cardiovascular Surgery, Mito National Hospital
  • Nitta Yoshio
    Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University
  • Takayashi Goro
    Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University
  • Tabayashi Koichi
    Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University

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Other Title
  • 急性A型大動脈解離上行置換術後の残存解離に対して末梢側吻合にステントグラフトを用いた弓部大動脈置換術の1例
  • A Case Report

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A 74-year-old woman underwent ascending aortic replacement due to acute type A dissection 2 years previously. She received total aortic arch replacement with open stent grafting of the descending thoracic aorta for enlargement of the residual aortic dissection in the aortic arch and descending thoracic aorta. Operative method and, intra- and post-operative protective method of spinal cord are reported and discussed.

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