Re-reconstruction of visceral arteries with thoracoabdominal aortic replacement using a branched graft.
A 44-year-old man, unaffected by Marfan's syndrome, had previously undergone thoracoabdominal replacement for a chronic, type B dissecting aneurysm. Reconstruction of the visceral arteries was performed using an island technique. However, approximately 3 years after the operation, the reconstructed part of the aorta containing the visceral arteries became dilated and an aneurysm formed. We have succeeded both in repairing the aneurysms and "re-reconstructing" the visceral arteries using a branched graft. We conclude that the technique of separate revascularization is worth considering from the beginning, even if the patient does not present with Marfan's syndrome.
Suzuki
Kazuchika
K
First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Kazui
Teruhisa
T
Ohno
Takemi
T
Sugiki
Kenji
K
Doi
Hirosato
H
Ohkawa
Yohei
Y
D000784:Aortic Dissection / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008382:Marfan Syndrome; D008875:Middle Aged; D012086:Reoperation; D014656:Vascular Surgical Procedures; D014781:Viscera / Q000098:blood supply