title: Simultaneous repair of multiple aortic aneurysms: be courageous in minimally invasive era.
abstract: The simultaneous treatment of multiple ruptured aortic aneurysms is a surgical challenge. Here we present a case of a 53-year-old woman with Marfan syndrome who had annuloaortic ectasia of 4.2 cm and a thoracoabdominal aortic aneurysm of 6 cm. The patient developed acute aortic dissection complicated with cardiac tamponade and thoracoabdominal aortic rupture. An emergency operation, which included a Bentall operation, total arch replacement, and thoracoabdominal repair, was performed for 2 remote aneurysms. By paying particular attention to organ perfusion, a single-stage operation was successfully performed and the patient fully recovered.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Saito
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan. Electronic address: ikuofuku@cc.hirosaki-u.ac.jp.
authors.forename: Ikuo
authors.initials: I
authors.lastname: Fukuda
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Kozo
authors.initials: K
authors.lastname: Fukui
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Masahito
authors.initials: M
authors.lastname: Minakawa
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D014656:Vascular Surgical Procedures / Q000379:methods