title: [Two-staged Hybrid Repair for Extensive Aortic Aneurysm;Report of a Case].
abstract: A 74-year-old woman progressed to extensive aortic aneurysm after 2 years and 6 months from onset of type B dissection. A computed tomography scan revealed aortic aneurysm from ascending aorta to Th12 level of descending aorta. Her appearance was very frailty. Therefore, we performed 2-staged hybrid repair for this case. First, surgical total arch replacement with elephant trunk via median sternotomy was performed. On the 47th days after the 1st operation, thoracic endovascular aortic repair was performed. The spinal drainage was done for spinal cord protection. Postoperative course was uneventful without any complications. Considering a surgical stress, 2-staged hybrid repair using a stent graft was less-invasive than 1 staged graft replacement.
authors.affiliation: Department of Cardiovascular Surgery, Akashi Medical Center, Akashi, Japan.
authors.forename: Taro
authors.initials: T
authors.lastname: Hayashi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tobe
authors.forename: Hironobu
authors.initials: H
authors.lastname: Sugiyama
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ijyuin
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Masato
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Takanori
authors.initials: T
authors.lastname: Oka
authors.forename: Takuya
authors.initials: T
authors.lastname: Misato
authors.forename: Kotaro
authors.initials: K
authors.lastname: Tsunemi
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Tanimura
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D019616:Thoracic Surgical Procedures; D014057:Tomography, X-Ray Computed; D058017:Vascular Grafting; D014945:Wound Healing