title: [Endovascular stent-grafting for rupture of descending aorta with a patient with severe arterial occlusive disease; report of a case].
abstract: A patient was a 63-year-old woman with poor cardiac function and systemic arterial occlusive disease, who complained of severe back pain. Computed tomography (CT) revealed a rupture of the descending aorta. Initially, abdominal aortic approach through open laparotomy was attempted, but a guide wire caused local aortic dissection. Then, after median sternotomy, endovascular stent was successfully deployed through the ascending aorta. Postoperative course was uneventful. Follow-up CT showed no endoleak. A less invasive endovascular repair would be an alternative treatment for high risk patients such as this case, but several access routes should be considered, especially in a patient with systemic arterial occlusive disease.
authors.affiliation: Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Suematsu
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kawata
authors.forename: Sei
authors.initials: S
authors.lastname: Morizumi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Taketani
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000150:complications*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents