Two-stage repair for DeBakey type II acute aortic dissection and distal aortic arch aneurysm in a nonagenarian patient
Abstract Although total arch replacement would be performed in a patient with acute type A aortic dissection and concomitant aortic aneurysm in the distal aortic arch, total arch replacement may be too invasive in elderly patients with significant morbidities. A 92-year-old female with acute type II...
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| Veröffentlicht in: | Journal of surgical case reports 2023-12, Vol.2023 (12), p.rjad648 |
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| container_issue | 12 |
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| container_title | Journal of surgical case reports |
| container_volume | 2023 |
| creator | Shirakura, Kentaro Kunioka, Shingo Miyatani, Kazuki Mochizuki, Nobuhiro Isa, Hideki Setogawa, Yuki Suzuki, Fumitaka Okubo, Ryo Ushioda, Ryohei Hirofuji, Aina Tsutsui, Masahiro Ishikawa, Natsuya Kamiya, Hiroyuki |
| description | Abstract
Although total arch replacement would be performed in a patient with acute type A aortic dissection and concomitant aortic aneurysm in the distal aortic arch, total arch replacement may be too invasive in elderly patients with significant morbidities. A 92-year-old female with acute type II DeBakey aortic dissection and concomitant distal aortic arch aneurysm was successfully treated with hemi-arch replacement followed by thoracic endovascular aortic repair. Hybrid two-stage repair of DeBakey type II aortic dissection complicated by distal arch aneurysm using thoracic endovascular aortic repair after hemi-arch replacement may be effective. |
| doi_str_mv | 10.1093/jscr/rjad648 |
| format | Article |
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Although total arch replacement would be performed in a patient with acute type A aortic dissection and concomitant aortic aneurysm in the distal aortic arch, total arch replacement may be too invasive in elderly patients with significant morbidities. A 92-year-old female with acute type II DeBakey aortic dissection and concomitant distal aortic arch aneurysm was successfully treated with hemi-arch replacement followed by thoracic endovascular aortic repair. Hybrid two-stage repair of DeBakey type II aortic dissection complicated by distal arch aneurysm using thoracic endovascular aortic repair after hemi-arch replacement may be effective.</description><identifier>ISSN: 2042-8812</identifier><identifier>EISSN: 2042-8812</identifier><identifier>DOI: 10.1093/jscr/rjad648</identifier><identifier>PMID: 38076320</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><ispartof>Journal of surgical case reports, 2023-12, Vol.2023 (12), p.rjad648</ispartof><rights>Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. 2023</rights><rights>Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c285t-c536f7e05aa96c67f372fc67b77e9d08e4e5e9df73d78a2b693440cce86073063</cites><orcidid>0000-0002-2953-3658 ; 0000-0002-7451-5264 ; 0009-0002-1426-7796 ; 0000-0002-8085-9610 ; 0000-0003-1405-060X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1586,1606,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38076320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shirakura, Kentaro</creatorcontrib><creatorcontrib>Kunioka, Shingo</creatorcontrib><creatorcontrib>Miyatani, Kazuki</creatorcontrib><creatorcontrib>Mochizuki, Nobuhiro</creatorcontrib><creatorcontrib>Isa, Hideki</creatorcontrib><creatorcontrib>Setogawa, Yuki</creatorcontrib><creatorcontrib>Suzuki, Fumitaka</creatorcontrib><creatorcontrib>Okubo, Ryo</creatorcontrib><creatorcontrib>Ushioda, Ryohei</creatorcontrib><creatorcontrib>Hirofuji, Aina</creatorcontrib><creatorcontrib>Tsutsui, Masahiro</creatorcontrib><creatorcontrib>Ishikawa, Natsuya</creatorcontrib><creatorcontrib>Kamiya, Hiroyuki</creatorcontrib><title>Two-stage repair for DeBakey type II acute aortic dissection and distal aortic arch aneurysm in a nonagenarian patient</title><title>Journal of surgical case reports</title><addtitle>J Surg Case Rep</addtitle><description>Abstract
Although total arch replacement would be performed in a patient with acute type A aortic dissection and concomitant aortic aneurysm in the distal aortic arch, total arch replacement may be too invasive in elderly patients with significant morbidities. A 92-year-old female with acute type II DeBakey aortic dissection and concomitant distal aortic arch aneurysm was successfully treated with hemi-arch replacement followed by thoracic endovascular aortic repair. Hybrid two-stage repair of DeBakey type II aortic dissection complicated by distal arch aneurysm using thoracic endovascular aortic repair after hemi-arch replacement may be effective.</description><issn>2042-8812</issn><issn>2042-8812</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNp9kL1PwzAQxS0EolXpxoy8sRDqxIntjFC-IlViKXN0dS7g0iaR7YDy3-OqLWLilvfu7qc3PEIuY3Ybs5zP1k7bmV1DJVJ1QsYJS5NIqTg5_eNHZOrcmoVJ8zhW4pyMuGJS8ISNydfyu42ch3ekFjswltatpQ94D584UD90SIuCgu49UmitN5pWxjnU3rQNhabarR42xydY_RHO2NvBbakJCG3aJsQ3YA00tANvsPEX5KyGjcPpQSfk7elxOX-JFq_PxfxuEelEZT7SGRe1RJYB5EILWXOZ1EFXUmJeMYUpZsHUkldSQbISOU9TpjUqwSRngk_IzT5X29Y5i3XZWbMFO5QxK3cNlrsGy0ODAb_a412_2mL1Cx_7CsD1Hmj77v-oH-9MfKo</recordid><startdate>20231205</startdate><enddate>20231205</enddate><creator>Shirakura, Kentaro</creator><creator>Kunioka, Shingo</creator><creator>Miyatani, Kazuki</creator><creator>Mochizuki, Nobuhiro</creator><creator>Isa, Hideki</creator><creator>Setogawa, Yuki</creator><creator>Suzuki, Fumitaka</creator><creator>Okubo, Ryo</creator><creator>Ushioda, Ryohei</creator><creator>Hirofuji, Aina</creator><creator>Tsutsui, Masahiro</creator><creator>Ishikawa, Natsuya</creator><creator>Kamiya, Hiroyuki</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-2953-3658</orcidid><orcidid>https://orcid.org/0000-0002-7451-5264</orcidid><orcidid>https://orcid.org/0009-0002-1426-7796</orcidid><orcidid>https://orcid.org/0000-0002-8085-9610</orcidid><orcidid>https://orcid.org/0000-0003-1405-060X</orcidid></search><sort><creationdate>20231205</creationdate><title>Two-stage repair for DeBakey type II acute aortic dissection and distal aortic arch aneurysm in a nonagenarian patient</title><author>Shirakura, Kentaro ; Kunioka, Shingo ; Miyatani, Kazuki ; Mochizuki, Nobuhiro ; Isa, Hideki ; Setogawa, Yuki ; Suzuki, Fumitaka ; Okubo, Ryo ; Ushioda, Ryohei ; Hirofuji, Aina ; Tsutsui, Masahiro ; Ishikawa, Natsuya ; Kamiya, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-c536f7e05aa96c67f372fc67b77e9d08e4e5e9df73d78a2b693440cce86073063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shirakura, Kentaro</creatorcontrib><creatorcontrib>Kunioka, Shingo</creatorcontrib><creatorcontrib>Miyatani, Kazuki</creatorcontrib><creatorcontrib>Mochizuki, Nobuhiro</creatorcontrib><creatorcontrib>Isa, Hideki</creatorcontrib><creatorcontrib>Setogawa, Yuki</creatorcontrib><creatorcontrib>Suzuki, Fumitaka</creatorcontrib><creatorcontrib>Okubo, Ryo</creatorcontrib><creatorcontrib>Ushioda, Ryohei</creatorcontrib><creatorcontrib>Hirofuji, Aina</creatorcontrib><creatorcontrib>Tsutsui, Masahiro</creatorcontrib><creatorcontrib>Ishikawa, Natsuya</creatorcontrib><creatorcontrib>Kamiya, Hiroyuki</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of surgical case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shirakura, Kentaro</au><au>Kunioka, Shingo</au><au>Miyatani, Kazuki</au><au>Mochizuki, Nobuhiro</au><au>Isa, Hideki</au><au>Setogawa, Yuki</au><au>Suzuki, Fumitaka</au><au>Okubo, Ryo</au><au>Ushioda, Ryohei</au><au>Hirofuji, Aina</au><au>Tsutsui, Masahiro</au><au>Ishikawa, Natsuya</au><au>Kamiya, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two-stage repair for DeBakey type II acute aortic dissection and distal aortic arch aneurysm in a nonagenarian patient</atitle><jtitle>Journal of surgical case reports</jtitle><addtitle>J Surg Case Rep</addtitle><date>2023-12-05</date><risdate>2023</risdate><volume>2023</volume><issue>12</issue><spage>rjad648</spage><pages>rjad648-</pages><issn>2042-8812</issn><eissn>2042-8812</eissn><abstract>Abstract
Although total arch replacement would be performed in a patient with acute type A aortic dissection and concomitant aortic aneurysm in the distal aortic arch, total arch replacement may be too invasive in elderly patients with significant morbidities. A 92-year-old female with acute type II DeBakey aortic dissection and concomitant distal aortic arch aneurysm was successfully treated with hemi-arch replacement followed by thoracic endovascular aortic repair. Hybrid two-stage repair of DeBakey type II aortic dissection complicated by distal arch aneurysm using thoracic endovascular aortic repair after hemi-arch replacement may be effective.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>38076320</pmid><doi>10.1093/jscr/rjad648</doi><orcidid>https://orcid.org/0000-0002-2953-3658</orcidid><orcidid>https://orcid.org/0000-0002-7451-5264</orcidid><orcidid>https://orcid.org/0009-0002-1426-7796</orcidid><orcidid>https://orcid.org/0000-0002-8085-9610</orcidid><orcidid>https://orcid.org/0000-0003-1405-060X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford Journals Open Access Collection; Oxford University Press Journals All Titles (1996-Current); PubMed Central |
| title | Two-stage repair for DeBakey type II acute aortic dissection and distal aortic arch aneurysm in a nonagenarian patient |
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