[Surgical repair of type A aortic dissection with severe atherosclerosis; report of a case].
We report a case of type A aortic dissection with severe atherosclerosis. An 81-year-old man with acute type A aortic dissection was referred to our hospital. Computed tomography revealed DeBakey type II dissection with severe atherosclerosis. Ascending aortic replacement was performed urgently, and an autologous pericardium strip was placed in the lumen to prevent atheroembolization and to reinforce the friable atherosclerotic intima This technique was useful for avoiding cerebral vascular accidents. The patient was discharged on the 24th operative day with no complications.
Kano
M
M
Department of Cardiovascular Surgery, The University of Tokushima Graduate School of Medicine, Tokushima, Japan.
Urata
M
M
Yoshida
H
H
Kurushima
A
A
Kanbara
T
T
Kitaichi
T
T
Masuda
Y
Y
Kitagawa
T
T
D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D014182:Transplantation, Autologous; D014656:Vascular Surgical Procedures / Q000379:methods