[Reconstruction of aortic branches after total aortic replacement in Marfan syndrome; report of a case].
A 34-year-old man with Marfan syndrome finished to replace the total aorta in consecutive 4 operations for 7 years. Two years later, he was diagnosed as bilateral common iliac artery aneurysms and performed a reconstruction of both arteries in September 7, 1998. Then 2 years later, innominate artery was dilated and Y-type grafting was performed in March 14, 2001. Now we have a scheduled operation for celiac artery aneurysm. In patients with Marfan syndrome, aortic dissection and aneurysms are common complications, but progressive dilatations of aortic branches are rear. Regular follow-up is important even though total aortic replacement was completed.
Konishi
H
H
Division of Cardiovascular Surgery, Department of Surgery, Jichi Medical School, Tochigi, Japan.
Saito
T
T
Kamisawa
O
O
Katoh
M
M
Misawa
Y
Y
Fuse
K
K
D000328:Adult; D000783:Aneurysm / Q000601:surgery; D000784:Aortic Dissection / Q000601:surgery; D001011:Aorta / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk / Q000601:surgery; D002445:Celiac Artery / Q000601:surgery; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery; D008297:Male; D008382:Marfan Syndrome / Q000601:surgery*; D012086:Reoperation