A Case of a Super-Elderly Patient Who Underwent Total Arch Replacement Using the Frozen Elephant Trunk Technique for a Thoracic Aortic Aneurysm with a Right-Sided Aortic Arch

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  • Kato Takashi
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Fukuda Hirotsugu
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Moriyama Wataru
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Ohashi Masataka
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Hirota Shotaro
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Seki Masahiro
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Teduka Masahiro
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Takei Yusuke
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Ogawa Hironaga
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital
  • Shibasaki Ikuko
    Department of Cardiac and Vascular Surgery, Dokkyo Medical University Hospital

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  • 右側大動脈弓を有した胸部大動脈瘤に対して Frozen elephant trunk technique を用いた全弓部置換術を施行した超高齢患者の1例

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<p>The case is that of a 90-years-old man. A previous doctor performed abdominal graft replacement for an abdominal aortic aneurysm 5 years earlier and continued outpatient CT follow-up. Follow-up CT showed the right aortic arch and dilation of the thoracic aortic aneurysm, and the patient was referred to our hospital. Contrast-enhanced CT showed an aortic arch aneurysm ; the aneurysm diameter was 62 mm in major axis and 60 mm in minor axis, which was judged to be suitable for surgery. It was a rare right-sided aortic arch with no congenital heart malformation and no situs inversus. Endovascular treatment was considered because he was 90 years old and very elderly, but there were concerns about the risk of embolism, irregular manipulation and central landing. For the surgical method, we selected total arch replacement using a frozen elephant trunk technique. We succeeded in avoiding serious complications by selecting an appropriate treatment method through careful evaluation.</p>

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