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Ann Thorac Surg 2002;73:1621-1623
© 2002 The Society of Thoracic Surgeons


Case report

Conventional repair and operative stent-grafting for acute and chronic aortic dissection

Takeshi Miyairi, MD*a, Mikio Ninomiya, MDa, Munemoto Endoh, MDa, Junichi Naganuma, MDa, Yutaka Kotsuka, MDa, Shinichi Takamoto, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Accepted for publication August 31, 2001.

* Address reprint requests to Dr Miyairi, Department of Cardiothoracic Surgery, University of Tokyo, Hongo 7-3-1, Bunkyo-ku, 113-8655 Tokyo, Japan
e-mail: tmiyairi-tky{at}umin.ac.jp

Conventional graft replacement of the ascending aorta and surgically endovascular stent-grafting of the proximal descending aorta were performed concomitantly in a 82-year-old woman with an acute DeBakey type II aortic dissection and a chronic DeBakey type IIIb aortic dissection. Postoperative computed tomography and angiography showed the adequately replaced ascending-aortic prosthesis, the well-expanded stent-graft, and the thrombosed false lumen in the descending aorta.







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