J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1057KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 90(11): 1946-1948, 1989

Case report

THREE STAGED OPERATION FOR THE ANEURYSMS OF ABDOMINAL, THORACOABDOMINAL AND AORTIC ARCH

Department of Thoracic & Cardiovascular Surgery, School of Medicine, University of Occupational & Environmental Health, Kitakyusyu, Japan

Shigetoh Odagiri, Akira Shimazu, Hirofumi Yasukawa, Yoshiya Ishikura, Hiroshi Yoshimatsu

Sixty-one year old man, who was diagnosed as abdominal and thoracoabdominal aortic aneurysms, underwent only Y graft replacement for abdominal aortic aneurysm. Two years later, the graft replacement was carried out for the thoracoabdominal aortic aneurysm. Three years after the second operation, graft replacement of the aortic arch was performed under separated cerebral perfusion technique as a supportive measure, because of the gradual growth of the arch aneurysm.
We recommend the distal aneurysm (abdominal aortic aneurysm) should be removed first to prevent the detatchment of the thrombus in the aneurysm during proximal operation.

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