A pseudoaneurysm after repair of thoraco-abdominal aortic aneurysm.
We report a 63-year-old female patient developing a pseudoaneurysm three years after patch-plasty of an aneurysm located at the distal thoracic aorta. Redo-operation was performed including total replacement of the descending thoracic aorta with reimplantation of distal intercostal arteries using small-caliber interposition grafts. This case presentation underlines the ineffectiveness of patch repair for the treatment of aortic aneurysms. Furthermore, the surgical technique of reimplantation of intercostal arteries using a separate graft is discussed.
Tanaka
Hiroyuki
H
Department of Thoracic Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
Narisawa
Takashi
T
Mori
Takanobu
T
Masuda
Yoshiro
Y
Suzuki
Takashi
T
D017541:Aneurysm, False / Q000209:etiology*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D014656:Vascular Surgical Procedures / Q000379:methods