The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 59 , Issue 6
Showing 1-2 articles out of 2 articles from the selected issue
Original Article
  • Nobuhisa Ohno, Toshi Maeda, Otohime Kato, Hirofumi Sato, Go Ueno, Kosu ...
    2019 Volume 59 Issue 6 Pages 37-43
    Published: June 10, 2019
    Released: June 10, 2019

    Although numerous surgical techniques are employed to treat acute Stanford type A aortic dissection (ATAAD), controversy remains over which is the best procedure for aortic root reconstruction. Among the various techniques utilized, neomedia repair is considered to be more promising than adhesive-only repair for the treatment of a dissected aortic root. We experienced a series of neomedia sinus valsalva repair using woven polyester fabric, and evaluated the aortic root diameter by computed tomography and severity of aortic valve insufficiency by transthoracic echocardiography. The aortic root diameter was well preserved with no progress of aortic valve insufficiency in the long-term period. Furthermore, we found that the fabric looked functioning new media in the findings obtained from the pathological examination of a neomedia repaired aortic wall sample that was obtained by chance from a patient during valve replacement surgery performed 10 years after aortic reconstruction for ATAAD. Neomedia repair using woven polyester fabric for ATAAD might facilitate the long-term durability of the surgically treated aortic root.

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Case Report
  • Kenji Sangawa, Teiji Jinno
    2019 Volume 59 Issue 6 Pages 45-48
    Published: June 10, 2019
    Released: June 10, 2019

    Mycotic aneurysm caused by Campylobacter is rare. The patient was a 65-year-old man and his chief complaint was low back pain. He had no past history of diabetes, steroid use nor malignant disease. Contrast-enhanced computed tomography demonstrated multiple saccular aneurysms of the abdominal aorta and right common iliac artery. Preoperative blood culture revealed Campylobacter. Imipenem was started and elective surgery was performed. Using an ePTFE graft, Y grafting and omental transfer was performed. His postoperative course was uneventful.

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