Two Cases of Graft Replacement Combined with Wrapping Procedure for Thoracoabdominal Aortic Aneurvsm.

  • Noguchi Yasuzo
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Naito Yasuaki
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Fujiwara Keiichi
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Higashiue Shin-ichi
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Takagaki Yuusaku
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Komai Hiroyoshi
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Hirooka Noriyuki
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Nishioka Takehiko
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College
  • Kawasaki Sadao
    Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College

Bibliographic Information

Other Title
  • 人工血管置換術にwrapping法を併用した胸腹部大動脈りゅうの2治験例

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Description

The results of complete graft replacement for thoracoabdominal aortic aneurysm remains unsatisfactory. The operative strategies, including the method of reconstruction of visceral vessels and the protection of abdominal organs and spinal cord, are controversial. Two male patients (53 and 59 years of age) had thoracoabdominal aortic aneurysms including the celiac artery and small abdominal aortic aneurysm in the renal arterial part. They underwent replacement of a large aneurysm using a Dacron prosthesis with reconstruction of the celiac artery. The remaining small aneurysm was wrapped by a bandage of Teflon tape 3mm in width. This wrapping technique was easy to perform and could be sufficiently adapted to the aneurysm preserving visceral arterial branches. The postoperative courses were uneventful. Their postoperative enhanced CTs (41 months and 26 months after surgery, respectively) revealed no enlargement of the wrapped aortic aneurysm and no stenosis of the visceral branches. This result suggests that our wrapping method is useful to reinforce the wall of small aortic aneurysms.

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Details 詳細情報について

  • CRID
    1390282679681688192
  • NII Article ID
    130003628878
  • DOI
    10.4326/jjcvs.25.203
  • ISSN
    18834108
    02851474
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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