title: Limited Distal Arch Open Stenting for Type B Aortic Dissection with an Enlarged Ulcer-Like Projection, Complicated by Abdominal Aortic Occlusion.
abstract: A 79-year-old man underwent bifurcated graft replacement for abdominal aortic aneurysm, but the graft was totally occluded owing to an acute type B aortic dissection. We could not have access to the root for performing endovascular stenting for dissecting aneurysm. Furthermore, it was difficult to remove the aneurysm via a left thoracotomy because it was impossible to perfuse the lower body with blood from the femoral artery and also a left axillary arterial cannulation was unusable. Herein, we report a patient who was successfully treated with open surgical aortic stenting for an enlarged ulcer-like projection complicated by a type B aortic dissection.
authors.affiliation: Department of Cardiovascular Surgery, Nihon University Hospital, Tokyo, Japan.
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Hata
authors.affiliation: Department of Cardiovascular Surgery, Nihon University Hospital, Tokyo, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Akiyama
authors.affiliation: Department of Cardiovascular Surgery, Nihon University Hospital, Tokyo, Japan.
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Orime
keywords: aortic aneurysm; aortic stent; cardiovascular surgery