[Surgical treatment for acute dissection associated with thoracic aneurysm--a case report and a review of Japanese literatures].
DeBakey IIIa acute dissection associated with thoracic aneurysm was successfully operated upon in 62-year-old man. The patient was referred to our hospital complaining of sudden severe back pain, and diagnosed as having acute dissection associated with thoracic aneurysm. An emergency operation was carried out, using partial cardiopulmonary bypass support with the cannulation into the right atrium via left femoral vein and left femoral artery. There was an entry in a true aneurysm of the descending aorta, which was replaced with a 22 mm Hemashield prosthetic graft. His postoperative course was uneventful. Acute dissection associated with a true thoracic aneurysm is rare and belongs to high risk groups for rupture. An urgent operation is often the treatment of choice.
Ohki
S
S
Second Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.
Ishikawa
S
S
Ohtaki
A
A
Takahashi
T
T
Yamagishi
T
T
Morishita
Y
Y
D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged