Korean J Thorac Cardiovasc Surg.  1997 Mar;30(3):336-339.

Total Replacement of Aorta in Chronic Type I Aortic Dissection

• Hong JM
• Noh WY
• Lee JH
• Ahn JH
• Hong JS

Abstract

The surgical treatment of diseases of thoracic aorta has had much better success rate in recent years compaired to the past. Aortic aneurysms or dissections that extend along the entire thoracic aorta are usually approached in two or three stages. Recently we successfully performed one-stage aortic replacement from the aortic root to the abdominal aorta in chronic DeBakey type I dissection. A 25 year-old man who had dyspnea on exertion (NYHA Fc II) and a Marfanoid feature was operated under the diagnosis of chronic type I dissection with severe aortic regurgitation. At operation, a huge ascending aorta with two intimal tearings was seen and the blood supply of intercostal arteries and right renal artery was done from the false lumen. Modified Bentall operation with total aortic replacement was done successfully, and the patient is being followed-up without major complications.

Keyword

Type I aortic dissection; One-stage operation

MeSH Terms

Adult
Aorta*
Aorta, Abdominal
Aorta, Thoracic
Aortic Aneurysm
Aortic Valve Insufficiency
Arteries
Diagnosis
Dyspnea
Humans
Renal Artery