JTCS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Omke E. Teebken
Matthias Karck
Axel Haverich
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kühn, C.
Right arrow Articles by Haverich, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kühn, C.
Right arrow Articles by Haverich, A.
Related Collections
Right arrow Cerebral protection
Right arrow Great vessels

J Thorac Cardiovasc Surg 2006;131:235-236
© 2006 The American Association for Thoracic Surgery

Brief Communication

Surgical treatment of an aneurysm involving ascending aorta, aortic arch, and a rupture of a descending aortic aneurysm 26 years following acute type A aortic dissection

Christian Kühn, MD a , * , Omke E. Teebken, MD a , Jürgen Weidemann, MD b , Matthias Karck, MD a , Maximillian Pichlmaier, MD a , Axel Haverich, MD a

a Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany
b Department of Radiology, Hannover Medical School, Hannover, Germany

Received for publication July 8, 2005; revisions received August 14, 2005; accepted for publication August 19, 2005.

* Address for reprints: Christian Kühn, MD, Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany (Email: kuehn@thg.mh-hannover.de).

The first 20% of the full text of this article appears below.

A 60-year-old man with distal aortic ascending aneurysm, aortic arch aneurysm and subacute rupture of the descending aorta had undergone aortic valve repair and proximal ascending aorta replacement following acute type A aortic dissection 26 years ago. Surgical therapy included replacement of distal ascending, arch, and complete thoracoabdominal descending aorta using selective antegrade cerebral and abdominal organ perfusion, reinsertion of the brachiocephalic trunc, left carotid artery, two intercostal arteries (Th-9/10), reimplantation of both renal arteries, the superior mesenteric artery and coeliac trunc through a left-sided thoracotomy and thoracoabdominal approach.

Clinical Summary

A patient underwent emergency aortic valve reconstruction combined with proximal ascending aorta replacement following traumatic type A aortic dissection after a ski-accident 26 years ago. The following years were uneventful and the patient was in good condition without signs of kidney dysfunction or abdominal malperfusion. An increasing aneurysm (diameter 4,5 cm) of the left common iliac artery was resected and a 10 mm Dacron tube graft inserted two years ago. A computed tomography scan one year later showed the known dissection of the aortic arch and descending aorta (Figure 1). However, diameter of . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
A. Zierer, R. K. Voeller, K. E. Hill, N. T. Kouchoukos, R. J. Damiano Jr, and M. R. Moon
Aortic Enlargement and Late Reoperation After Repair of Acute Type A Aortic Dissection
Ann. Thorac. Surg., August 1, 2007; 84(2): 479 - 487.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The American Association for Thoracic Surgery.