[A case of successful surgical treatment of DeBakey IIIb dissecting aortic aneurysm with the true lumen obstruction of the thoracic descending aorta].
A case of successful surgical treatment of DeBakey IIIb dissecting aortic aneurysm with the true lumen obstruction of the thoracic descending aorta is presented. A 64-year-old male was admitted to our hospital with a complaint of severe chest and back pain. Immediately antihypertension therapy was carried out. But, after 14 days, acute renal failure was occurred by the true lumen obstruction of the thoracic descending aorta. On the 78 days after hospitalization, the flow reversal thromboexclusion by ascending aorta-abdominal aorta bypass and permanent aortic clamping was done. The reasons why this procedure was selected are as follows: 1) widely extended dissection, 2) renal failure, 3) poor pulmonary function, 4) left hemiparesis due to apoplexy. The post-operative course was excellent, paraplegia did not occur and renal function improved very well. The post-operative CT revealed thrombi formation within the thoracic descending aorta.
Nishiura
K
K
First Department of Surgery, Kanazawa University School of Medicine, Japan.
Urayama
H
H
Katada
S
S
Kawakami
K
K
Watanabe
Y
Y
Iwa
T
T
D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D001013:Aorta, Thoracic / Q000473:pathology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003251:Constriction, Pathologic / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged