Abstract
We performed successful ascending-arch aortic replacement and concomitant ascending-to-descending aorta bypass with exclusion of a descending thoracic aneurysm, via median sternotomy, for a ruptured aortic aneurysm involving the entire thoracic aorta. The patient was an 80-year-old man with cardiopulmonary dysfunction and a history of lung tuberculosis. This operation, which has been used for complex descending thoracic aortic lesions such as recoarctation, is a feasible option for a diffuse thoracic aortic aneurysm when single-stage repair is mandatory.
Similar content being viewed by others
References
U Izhar HV Schaff CJ Mullany RC Daly TA Orszulak (2000) ArticleTitlePosterior pericardial approach for ascending aorta-to-descending aorta bypass through a median sternotomy Ann Thorac Surg 70 31–7 Occurrence Handle10921678 Occurrence Handle1:STN:280:DC%2BD3cvgvVKhug%3D%3D Occurrence Handle10.1016/S0003-4975(00)01481-8
DA Cooley (1995) ArticleTitleRetrograde replacement of the thoracic aorta Tex Heart Inst J 22 162–5 Occurrence Handle7647599 Occurrence Handle1:STN:280:DyaK2MznsFGkug%3D%3D
T Kunihara N Shiiya Y Kamikubo Y Matsui K Yasuda (2000) ArticleTitleMidline exposure of the thoracoabdominal aorta Ann Thorac Surg 69 1951–3 Occurrence Handle10892962 Occurrence Handle1:STN:280:DC%2BD3czkvFSmsw%3D%3D Occurrence Handle10.1016/S0003-4975(00)01275-3
C Minale FH Splittgerber HJ Reifschneider (1994) ArticleTitleReplacement of the entire thoracic aorta in a single stage Ann Thorac Surg 57 850–5 Occurrence Handle8166530 Occurrence Handle1:STN:280:DyaK2c3hvF2isg%3D%3D Occurrence Handle10.1016/0003-4975(94)90188-0
NT Kouchoukos MC Mauney P Masetti CF Castner (2004) ArticleTitleSingle-stage repair of extensive thoracic aortic aneurysms: experience with the arch-first technique and bilateral anterior thoracotomy J Thorac Cardiovasc Surg 128 669–76 Occurrence Handle15514593 Occurrence Handle10.1016/j.jtcvs.2004.06.037
Y Suto K Yasuda N Shiiya T Murashita M Kawasaki M Imamura et al. (1996) ArticleTitleStented elephant trunk procedure for an extensive aneurysm involving distal aortic arch and descending aorta J Thorac Cardiovasc Surg 112 1389–90 Occurrence Handle8911340 Occurrence Handle1:STN:280:DyaK2s%2FmvVSisA%3D%3D Occurrence Handle10.1016/S0022-5223(96)70157-5
A Usui K Fujimoto T Ishiguchi M Yoshikawa T Akita Y Ueda (2002) ArticleTitleCerebrospinal dysfunction after endovascular stent-grafting via a median sternotomy: the frozen elephant trunk procedure Ann Thorac Surg 74 S1821–4 Occurrence Handle12440674 Occurrence Handle10.1016/S0003-4975(02)04131-0
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shiiya, N., Matsuzaki, K., Yamashita, T. et al. Proximal Aortic Replacement with Ascending–Descending Bypass for a Diffuse Aneurysm: Report of a Case. Surg Today 36, 541–545 (2006). https://doi.org/10.1007/s00595-006-3191-z
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00595-006-3191-z