title: Re-reconstruction of visceral arteries with thoracoabdominal aortic replacement using a branched graft.
abstract: 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.
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
authors.forename: Kazuchika
authors.initials: K
authors.lastname: Suzuki
authors.forename: Teruhisa
authors.initials: T
authors.lastname: Kazui
authors.forename: Takemi
authors.initials: T
authors.lastname: Ohno
authors.forename: Kenji
authors.initials: K
authors.lastname: Sugiki
authors.forename: Hirosato
authors.initials: H
authors.lastname: Doi
authors.forename: Yohei
authors.initials: Y
authors.lastname: Ohkawa
mesh_terms: 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