[One stage repair for extensive aortic aneurysm using the pull-through technique].
We describe 2 cases of extensive aortic aneurysm. One was an 88-year-old female with a diagnosis of a rupture of the distal descending aortic aneurysm and the distal arch aneurysm. The 2nd case was a 68-year-old female who had undergone graft replacement of the ascending aorta for acute type A dissection 5 years before. She was diagnosed with an enlarging aneurysm of the false lumen from the transverse arch to the distal descending aorta. We performed 1 stage replacement of the aortic arch and the descending thoracic aorta by using the pull-through technique with a long elephant trunk (LET) through a median sternotomy under selective cerebral perfusion. Distal anastomosis of LET was done by posterior mediastinal approach. Postoperative courses were uneventful without neurological deterioration or respiratory distress.
Iwata
Keiji
K
Department of Cardiovascular Surgery, Kinan Hospital, Tanabe, Japan.
Shimazaki
Y
Y
Sakamoto
T
T
D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D014656:Vascular Surgical Procedures / Q000379:methods