J.Jpn. Surg. Soc.. 100(8): 486-490, 1999


Feature topic

SURGICAL TREATMENT FOR DISTAL AORTIC ARCH ANEURYSM USING STENT GRAFTING

1) Division of Vascular Surgery, Sakurabashi Watanabe Hospital, Osaka, Japan
2) Division of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, Osaka, Japan
3) Division of Cardiovascular Surgery, Osaka Prefectural Hospital, Osaka, Japan

Masaaki Kato1), Mitsunori Kaneko3), Toru Kuratani3), Yuji miyamoto2), Masataka Mitsuno2), Yukitosi Shirakawa2), Kenji Ohinishi2)

To alleviate the invasiveness of surgical treatment for distal aortic aneurysm or dissection, we have been using a stented graft to replace the distal anastomotic suture of the descending aorta.
We also developed a new stent graft implanting method for distal aortic aneurysm or dissection which uses cervical branch bypasses from the ascending aorta and requires no extracorporeal circulation.
These new surgical treatments for distal arch aneurysm result in low surgical mortality (3.8%) and low surgical morbidity rates (stroke, 7.7% ; respiratory complications, 7.7% ; no renal complications). These results indicate that these new graft implanting methods using stent graft should be considered as a less-invasive surgical treatment for distal aortic aneurysm or dissection.


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