title: Thoracoabdominal aortic aneurysm repair in a patient with a left ventricular assist device.
abstract: We report a case of thoracoabdominal aneurysm repair in a 44-year-old man with end-stage heart failure requiring an extracorporeal left ventricular assist device (LVAD). At the age of 31 years, the patient experienced type B acute aortic dissection, which gradually dilated to a maximum dimension of 66 mm at the diaphragm. The aneurysm prevented the patient from meeting heart transplantation criteria. For this reason and because of an increased risk of rupture, we undertook surgical repair of the aneurysm. This report constitutes the first such published case, and we describe the management of the LVAD in the perioperative period.
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan; Department of Cardiothoracic Surgery, The University of Tokyo, Tokyo, Japan. Electronic address: miracle5jp@yahoo.co.jp.
authors.forename: Kazuma
authors.initials: K
authors.lastname: Date
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kaneko
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Edure
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sato
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hasegawa
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Shuuichi
authors.initials: S
authors.lastname: Okada
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Shuuichi
authors.initials: S
authors.lastname: Okonogi
authors.affiliation: Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
authors.forename: Hitomi
authors.initials: H
authors.lastname: Takihara
authors.affiliation: Department of Cardiothoracic Surgery, The University of Tokyo, Tokyo, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Ono
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome