A Case of Total Aortic Arch Graft Replacement for Recurrent Distal Aortic Arch Aneurysm

A Case of Total Aortic Arch Graft Replacement for Recurrent Distal Aortic Arch Aneurysm

We report a case of successful graft replacement of the total aortic arch using selective cerebral perfusion for recurrent distal aortic arch aneurysm (DAAA). A 72-year-old man who had a history of patch aortoplasty for saccular DAAA was admitted to our hospital. Computed tomography and digital subt...

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Veröffentlicht in:Japanese Journal of Cardiovascular Surgery 1998/05/15, Vol.27(3), pp.162-165
Hauptverfasser: Koshino, Tokuo, Kazui, Teruhisa, Tamiya, Yukihiko, Fukada, Johji, Koushima, Ryuji, Abe, Tomio
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container_end_page 165
container_issue 3
container_start_page 162
container_title Japanese Journal of Cardiovascular Surgery
container_volume 27
creator Koshino, Tokuo
Kazui, Teruhisa
Tamiya, Yukihiko
Fukada, Johji
Koushima, Ryuji
Abe, Tomio
description We report a case of successful graft replacement of the total aortic arch using selective cerebral perfusion for recurrent distal aortic arch aneurysm (DAAA). A 72-year-old man who had a history of patch aortoplasty for saccular DAAA was admitted to our hospital. Computed tomography and digital subtraction angiography showed recurrent saccular DAAA and coronary angiography revealed 90% stenosis of the first diagonal branch, resulting in a diagnosis of recurrent DAAA with coronary artery stenosis. A graft replacement of the total aortic arch with the aid of selective cerebral perfusion and coronary artery bypass grafting to the first diagonal branch was carried out. Postoperatively, he had no cerebral complications. One year after the operation, he had an operation for an abdominal aortic aneurysm. The patient is now leading a normal life.
doi_str_mv 10.4326/jjcvs.27.162
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A 72-year-old man who had a history of patch aortoplasty for saccular DAAA was admitted to our hospital. Computed tomography and digital subtraction angiography showed recurrent saccular DAAA and coronary angiography revealed 90% stenosis of the first diagonal branch, resulting in a diagnosis of recurrent DAAA with coronary artery stenosis. A graft replacement of the total aortic arch with the aid of selective cerebral perfusion and coronary artery bypass grafting to the first diagonal branch was carried out. Postoperatively, he had no cerebral complications. One year after the operation, he had an operation for an abdominal aortic aneurysm. 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title A Case of Total Aortic Arch Graft Replacement for Recurrent Distal Aortic Arch Aneurysm
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