A Case of Partial Arch and Descending Aortic Replacement for a Ruptured Type B Acute Aortic Dissection

DOI 2 Citations 15 References
  • Shibata Ko
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Makuuchi Haruo
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Kobayashi Toshiya
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Chikada Masahide
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Murakami Hirosi
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Suzuki Takamaro
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Ono Hirokuni
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Chiba Kiyoshi
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Nagata Tokuichiro
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine

Bibliographic Information

Other Title
  • Ｂ型急性大動脈解離破裂に対する部分弓部下行大動脈置換術

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Description

Ruptured type B acute aortic dissection (AAD) is a life-threatening condition, in which surgical treatment most often yields unsatisfactory results. We report a case of a ruptured type B AAD in a 67-year-old man detected on computed tomography that required a partial aortic arch replacement with reconstruction of the left subclavian artery with adjunct deep hypothermic circulatory arrest (DHCA). Although the patient had a postoperative stroke, he recovered markedly with rehabilitation. DHCA and open proximal anastomosis are useful for the surgical treatment of type B AAD, however, an elaborate strategy to prevent an intraoperative cerebral embolism is especially important.

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Details 詳細情報について

  • CRID
    1390282679683051520
  • NII Article ID
    110007028521
  • NII Book ID
    AN00193284
  • DOI
    10.4326/jjcvs.38.64
  • ISSN
    18834108
    02851474
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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