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Ann Thorac Surg 2001;72:1766-1767
© 2001 The Society of Thoracic Surgeons

How to do it

Redo operation for thoracoaortic aneurysm after entire aortic replacement

Akira Ingu, MD*a, Motomi Ando, MDa, Yutaka Okita, MDa, Naoaki Yamada, MDa, Soichiro Kitamura, MDa

a Department of Cardiovascular Surgery and Radiology, National Cardiovascular Center, Suita, Osaka, Japan

Accepted for publication June 1, 2001.

* Address reprint requests to Dr Ingu, Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1 West 17, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan
e-mail: ingu{at}sapmed.ac.jp

Resection of a saccular aneurysm that developed in a remnant of aorta in a patient with Marfan’s syndrome, who previously underwent aortic aneurysmectomy, is described. The intercostal arteries were reconstructed end-to-end using small-caliber interposition grafts to the aortic prosthesis. Preoperative magnetic resonance angiography identified the artery of Adamkiewicz and facilitated its preservation.




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Y. Okita, Y. Kawanishi, K. Nakagiri, H. Tanaka, M. Matsumori, M. Asano, T. Yamashita, and K. Okada
Reconstruction of the intercostal arteries with small-branched grafts in patients with thoracoabdominal or descending aortic aneurysms
MMCTS, February 19, 2007; 2007(0219): 2014.
[Abstract] [Full Text] [PDF]


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