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Case Reports

Dilatation of the Aneurysmal Sac After Total Arch Replacement

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

Accepted for publication August 14, 2007.

^_* Address correspondence to Dr Ogino, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan (Email: hogino{at}hsp.ncvc.go.jp).

In our institution, total arch replacement for distal arch aneurysms is performed through a median sternotomy with antegrade selective cerebral perfusion. The distal anastomosis to the completely transected descending aorta is made through the aneurysmal sac. We report on three interesting cases presenting late dilatation of the aneurysmal sac due to collateral flow after total arch replacement.