Surgical Treatment for Aortic Coarctation with Chronic Type B Dissection: Report of a Case

Yohsuke Yanase; Nobuyoshi Kawaharada; Takayuki Hagiwara; Junji Nakazawa; Toshiyuki Maeda; Tetsuya Koyanagi; Toshiro Ito; Yoshihiko Kurimoto; Tetsuya Higami,

doi:10.3400/avd.cr.11.00054

This article has now been updated. Please use the final version.

Surgical Treatment for Aortic Coarctation with Chronic Type B Dissection: Report of a Case

Yohsuke Yanase, Nobuyoshi Kawaharada, Takayuki Hagiwara, Junji Nakazawa, Toshiyuki Maeda, Tetsuya Koyanagi, Toshiro Ito, Yoshihiko Kurimoto, Tetsuya Higami,

Author information

Yohsuke Yanase
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Nobuyoshi Kawaharada
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Takayuki Hagiwara
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Junji Nakazawa
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Toshiyuki Maeda
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Tetsuya Koyanagi
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Toshiro Ito
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Yoshihiko Kurimoto
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan
Tetsuya Higami,
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical School of Medicine, Sapporo, Hokkaido, Japan

Keywords: aortic dissection, aortic coarctation, thoracic aorta

JOURNAL FREE ACCESS Advance online publication

Article ID: cr.11.00054

DOI https://doi.org/10.3400/avd.cr.11.00054

The final version of this article is now available: Vol. 4 (2011) , No. 4 p.353

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Abstract

The aim of this paper is to report a rare case of aortic coarctation with type B aortic dissection. A 37 year-old man had sudden, intense back pain. Enhanced computed tomography revealed aortic coarctation (CoA) at the proximal descending aorta and acute type B aortic dissection just distal to the CoA. The dissecting, descending aortic aneurysm had expanded to a maximal diameter of 52 mm. The aortic coarctation was resected and then the descending aorta was replaced with prosthetic grafts in an uneventful procedure. Surgical repair resulted in a good outcome.

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