近位下行置換術後残存解離性胸腹部大動脈瘤切迫破裂に対して2期的血管内治療にて救命した1例

石川 成津矢; 國岡 信吾; 菊池 悠太; 伊勢 隼人; 中西 仙太郎; 若林 尚宏; 菊地 信介; 東 信良; 紙谷 寛之

doi:10.7133/jca.20-00027

Case Reports

Endovascular Treatment for Impending Rupture of a Residual Dissecting Aneurysm of the Thoracoabdominal Aorta after Replacement of the Proximal Descending Aorta: A Case Report

Natsuya Ishikawa, Shingo Kunioka, Yuta Kikuchi, Hayato Ise, Sentaro Nakanishi, Naohiro Wakabayashi, Sinsuke Kikuchi, Nobuyoshi Azuma, Hiroyuki Kamiya

Author information

Natsuya Ishikawa
Department of Cardiac Surgery, Asahikawa Medical University
Shingo Kunioka
Department of Cardiac Surgery, Asahikawa Medical University
Yuta Kikuchi
Department of Cardiac Surgery, Asahikawa Medical University
Hayato Ise
Department of Cardiac Surgery, Asahikawa Medical University
Sentaro Nakanishi
Department of Cardiac Surgery, Asahikawa Medical University
Naohiro Wakabayashi
Department of Cardiac Surgery, Asahikawa Medical University
Sinsuke Kikuchi
Department of Vascular Surgery, Asahikawa Medical University, Hokkaido, Japan
Nobuyoshi Azuma
Department of Vascular Surgery, Asahikawa Medical University, Hokkaido, Japan
Hiroyuki Kamiya
Department of Cardiac Surgery, Asahikawa Medical University

Keywords: chronic type B dissection, replacement of the descending aorta, endovascular treatment

JOURNAL OPEN ACCESS

2020 Volume 60 Issue 8 Pages 141-144

DOI https://doi.org/10.7133/jca.20-00027

Details

Abstract

Residual dissecting aneurysm of the thoracoabdominal aorta after replacement of the proximal descending aorta is difficult to treat and an open repair is considered to be very high risk. Here we report a patient underwent two staged endovascular treatment for such pathology. The early result seemed to be successful, however, further careful observation is mandatory.

Corresponding author

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