DeBakey IIIb aortic dissection originating in a distal aortic arch aneurysm.
This report presents a case of DeBakey IIIb aortic dissection originating in a distal aortic arch fusiform aneurysm. The atherosclerotic change of the aneurysm was mild and the letter "C"-shaped intimal flap was turned over to obstruct the true lumen blood flow. A four-branched woven Dacron vascular prosthesis was implanted in a double barrel fashion. Although this case was successfully managed, an emergent operation should have been conducted.
Tsukamoto
Saeki
S
Department of Cardiovascular Surgery, National Hospital Tokyo Disaster Medical Center, Tokyo, Japan.
Shindo
Shoji
S
Obana
Masahiro
M
Akiyama
Kenji
K
Shiono
Motomi
M
Negishi
Nanao
N
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001672:Biocompatible Materials / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates