title: Proximal aortic replacement with ascending-descending bypass for a diffuse aneurysm: report of a case.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido University Hospital, N14 W5, Kita-ku, Sapporo, 060-8648, Japan.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shiiya
authors.forename: Kenji
authors.initials: K
authors.lastname: Matsuzaki
authors.forename: Tomoyoshi
authors.initials: T
authors.lastname: Yamashita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sugiki
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kato
authors.forename: Takashi
authors.initials: T
authors.lastname: Kunihara
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Murashita
mesh_terms: 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