title: [Total arch replacement for ruptured Stanford type B aortic dissection with thrombosed pseudolumen presenting hemodynamic deterioration].
abstract: We report 2 cases of ruptured type B aortic dissection with thrombosed pseudolumen presenting hemodynamic deterioration which is a life-threatening condition. In such cases, surgical treatment often resulted in high mortality rates. We underwent total arch replacement via median sternotomy. In both cases, postoperative courses were uneventful. This approach ensured us wider operative field to establish cardiopulmonary bypass quickly, and to perform distal anastomosis without much difficulty.
authors.affiliation: Department of Cardiovascular Surgery, Kohseikai Takeda Hospital, Kyoto, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Paku
authors.forename: Takahide
authors.initials: T
authors.lastname: Takeda
authors.forename: Hisashi
authors.initials: H
authors.lastname: Sakaguchi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000150:complications / Q000601:surgery*; D014057:Tomography, X-Ray Computed