[Surgical treatment of aortitis syndrome associated with annuloaortic ectasia and the stenotic lesion of the aortic arch vessels].
A 37-year-old woman was admitted to our hospital for treatment of aortitis syndrome. Her aortogram showed critical stenosis of the innominate artery, occlusion of other arch vessels, and annuloaortic ectasia (AAE). We performed endarterectomy and patch plasty to the innominate artery using a saphenous vein graft. Graft replacement of the ascending aorta and AVR (modified Wheat's operation) were also performed at one stage. Deep hypothermic cerebral circulatory arrest was used as a method for cerebral protection. During operation, the lowest rectal temperature was 17 degrees C and the cerebral circulatory arrest time was 36 min. The postoperative course has been uneventful. In a postoperative aortogram, the innominate artery was well perfused. She has been free of complaint and been doing well for 2 years since the operation.
Umami
T
T
Department of Surgery (Section 2), Sapporo Medical University, Japan.
Kazui
T
T
Yamaguchi
T
T
Inoue
N
N
Komatsu
S
S
D000328:Adult; D001013:Aorta, Thoracic / Q000473:pathology*; D001015:Aortic Arch Syndromes / Q000150:complications / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D016122:Brachiocephalic Trunk / Q000601:surgery; D003251:Constriction, Pathologic; D004691:Endarterectomy; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation