Proximal aortic replacement with ascending-descending bypass for a diffuse aneurysm: report of a case.
We performed successful ascending-arch aortic replacement and concomitant ascending-to-descending aorta bypass with exclusion of a descending thoracic aneurysm, via median sternotomy, for a ruptured aortic aneurysm involving the entire thoracic aorta. The patient was an 80-year-old man with cardiopulmonary dysfunction and a history of lung tuberculosis. This operation, which has been used for complex descending thoracic aortic lesions such as recoarctation, is a feasible option for a diffuse thoracic aortic aneurysm when single-stage repair is mandatory.
Shiiya
Norihiko
N
Department of Cardiovascular Surgery, Hokkaido University Hospital, N14 W5, Kita-ku, Sapporo, 060-8648, Japan.
Matsuzaki
Kenji
K
Yamashita
Tomoyoshi
T
Sugiki
Hiroshi
H
Kato
Hiroki
H
Kunihara
Takashi
T
Murashita
Toshifumi
T
D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male