title: Rupture of a normal-sized, non-dissected distal aortic arch in a Marfan patient.
abstract: We successfully repaired a rupture of a normal-sized, non-dissected distal aortic arch in a patient with Marfan syndrome. Six years previously she had undergone repair of the thoraco-abdominal aortic aneurysm with a 24-mm knitted Dacron graft for type B chronic aortic dissection. The rupture site was located at the back of the native distal aortic arch just 10 mm above the proximal anastomosis, and just below the left subclavian artery. This unexpected situation might be related to dilatation of the knitted Dacron graft up to 34 mm (142%), thus stretching out the fragile native aorta in this Marfan patient.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Nippon Medical School, Tokyo, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Maruyama
authors.forename: Masami
authors.initials: M
authors.lastname: Ochi
authors.forename: Ryuzo
authors.initials: R
authors.lastname: Bessho
authors.forename: Kenichi
authors.initials: K
authors.lastname: Yamada
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Ishii
authors.forename: Masahiro
authors.initials: M
authors.lastname: Fujii
authors.forename: Koichi
authors.initials: K
authors.lastname: Tamura
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications* / Q000601:surgery; D012086:Reoperation