title: [Combined acute ascending aneurysm and chronic descending thoracic aneurysms].
abstract: A 66-year-old woman with a known chronic descending thoracic dissecting aneurysm was admitted following a chest X-ray which revealed a widening in the mediastinum and an increased cardiothoracic ratio. Echocardiography and chest CT showed a combined ascending thoracic dissecting aneurysm with a tripple lumen, pericardial effision, moderate aortic regurgitation, and the chronic descending thoracic dissection with incompletely thrombosed aneurysm. The chest CT also showed a normal aortic arch. The diagnosis was then made as combined acute ascending aortic dissection (DeBakey II) and chronic descending aortic dissection (DeBakey III). A 2-stage operation was planned, involving first a graft replacement of the ascending aorta, and then one month later a graft replacement of the descending aorta.
authors.affiliation: Department of Cardiovascular Surgery, Saga Prefectural Hospital Kouseikan, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Norita
authors.forename: H
authors.initials: H
authors.lastname: Ohteki
authors.forename: R
authors.initials: R
authors.lastname: Hisano
authors.forename: K
authors.initials: K
authors.lastname: Hayashida
authors.forename: K
authors.initials: K
authors.lastname: Yoshitake
authors.forename: M
authors.initials: M
authors.lastname: Yamada
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002908:Chronic Disease; D005260:Female; D006801:Humans