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Preceding Re-entry Closure for Chronic Thoracic Aortic Dissection in a Patient with Marfan Syndrome
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- Yamamoto Akihiro
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Satokawa Hirono
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Takase Shinya
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Wakamatsu Hiroki
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Sato Yoshiyuki
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Seto Yuki
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Kagoshima Akihito
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Takano Tomohiro
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Fujimiya Tsuyoshi
- Department of Cardiovascular Surgery, Fukushima Medical University
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- Yokoyama Hitoshi
- Department of Cardiovascular Surgery, Fukushima Medical University
Bibliographic Information
- Other Title
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- 術前血流評価によりリエントリー閉鎖を先行したマルファン症候群合併解離性胸部大動脈瘤の1例
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Description
<p>A 42 year-old woman with Marfan syndrome, who had replacement of the ascending aorta for acute aortic dissection several years ago, was found to have distal aortic arch aneurysm. The aneurysm had small entries at cervical arterial branches and large re-entry at the left external iliac artery. It was necessary to perform two-staged operation Bentall procedure with total arch replacement and abdominal aortic replacement with re-entry closure. It was usually performed with a primary entry closure for chronic aortic dissection, but massive invasion was expected. We performed catheter angiography for entry and re-entry, and decided to perform preceding re-entry closure. First, we underwent replacement of the abdominal aorta, and then successfully performed the Bentall procedure with total aortic arch replacement. The catheter angiography was useful for decision-making for medical treatment.</p>
Journal
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- Japanese Journal of Cardiovascular Surgery
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Japanese Journal of Cardiovascular Surgery 46 (1), 25-28, 2017
The Japanese Society for Cardiovascular Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390282679683699968
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- NII Article ID
- 130005308599
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- ISSN
- 18834108
- 02851474
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed