TY - JOUR
T1 - A case underwent separate operation for AAE, AR and TAA using elephant trunk method
AU - Tamaki, S.
AU - Ito, T.
AU - Takagi, Y.
AU - Ichihara, T.
AU - Kajiyama, M.
AU - Mizuno, S.
AU - Tanaka, M.
AU - Abe, T.
PY - 1994/2
Y1 - 1994/2
N2 - A 20-year-old man with Marfan syndrome was recommended emergency operation for impending rupture of TAA. Because he was in the state of acute heart failure due to coexisting AAE and AR, so the simultaneous operations for AAE, AR and TAA were needed. He underwent Bentall, arch replacement and elephant trunk operation utilizing separate extracorporeal circulation and circulatory arrest. Chest CT, taken after 5 months postoperatively, revealed only a small amount of thrombus in TAA. Anticoagulation therapy stood in the way of aneurysmal thrombo-exclusion. The second operation, grafting of descending thoracic aorta, was performed 6 months later and elephant trunk made the second operation easier. Now 12 months passed after the second operation, he is in good health.
AB - A 20-year-old man with Marfan syndrome was recommended emergency operation for impending rupture of TAA. Because he was in the state of acute heart failure due to coexisting AAE and AR, so the simultaneous operations for AAE, AR and TAA were needed. He underwent Bentall, arch replacement and elephant trunk operation utilizing separate extracorporeal circulation and circulatory arrest. Chest CT, taken after 5 months postoperatively, revealed only a small amount of thrombus in TAA. Anticoagulation therapy stood in the way of aneurysmal thrombo-exclusion. The second operation, grafting of descending thoracic aorta, was performed 6 months later and elephant trunk made the second operation easier. Now 12 months passed after the second operation, he is in good health.
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M3 - Article
C2 - 8301899
AN - SCOPUS:0028369251
SN - 0021-5252
VL - 47
SP - 115
EP - 118
JO - Kyobu geka. The Japanese journal of thoracic surgery
JF - Kyobu geka. The Japanese journal of thoracic surgery
IS - 2
ER -