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[Surgical treatment of Stanford type A acute aortic dissection with stenosis of the branches of aortic arch: report of two cases].
Jun Nakajima, Yutaka Kotsuka, Akira Mizuno, Hidehiro Nakahara, Yukihiro Kaneko, Taiichiro OHTSUKA, Masakazu Nobori, Makoto Suzuki, Takafumi Ehata, Yoshiro Nakamura
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Abstract
Recently two cases of Stanford type A acute aortic dissection with stenosis of the branches of aortic arch were operated. Both of them had the intimal tear in the ascending aorta, and the stenosis caused by the dissection was present in the left subclavian artery in the first case and in the brachiocephalic and the right common carotid arteries in the second case. Repairs of the dissected ascending aorta were performed successfully with the interposition of the ringed intraluminal graft in the first case, and with the composite graft replacement of the ascending aorta and the aortic valve in the second case. Complete remission or significant relief of the branch stenoses which had not been given direct surgical repairs was observed by the postoperative angiograms.