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Extended total arch replacement for type B aortic dissection with ascending aneurysm following healed aortic dissection

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Abstract

We describe a case of type B aortic dissection with large ascending aortic aneurysm occurring 12.8 years after aortic root replacement (Cabrol procedure) in a non-Marfan patient with cystic medial necrosis of the aorta. We have successfully performed an extended total aortic arch replacement using a four-branched graft through the “L-indsion” approach (a combination of a left anterior thoracotomy and upper half median sternotomy). Of note, a histological specimen from the aneurysmal ascending aortic wall revealed “healed aortic dissection” with fibrous tissue replacing the media and intima in addition to multiple foci of cystic medial necrosis.

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Authors and Affiliations

  1. From the Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan

    Yoshie Ochiai MD, Kazuhiro Kurisu MD, Takashi Kajiwara MD, Hiroshi Kumeda MD & Ryuji Tominaga MD

Authors
  1. Yoshie Ochiai MD
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  2. Kazuhiro Kurisu MD
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  3. Takashi Kajiwara MD
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  4. Hiroshi Kumeda MD
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  5. Ryuji Tominaga MD
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Ochiai, Y., Kurisu, K., Kajiwara, T. et al. Extended total arch replacement for type B aortic dissection with ascending aneurysm following healed aortic dissection. Jpn J Thorac Caridovasc Surg 52, 81–83 (2004). https://doi.org/10.1007/s11748-004-0090-3

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  • DOI: https://doi.org/10.1007/s11748-004-0090-3

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