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A case of a highly tortuous descending thoracic aortic aneurysm treated by surgical exclusion

Authors
  • Tsutsumi, Koji1
  • Shimizu, Hideyuki2
  • 1 Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Japan
  • 2 Department of Cardiovascular Surgery, Keio University, Tokyo, Japan
Type
Published Article
Journal
SAGE Open Medical Case Reports
Publisher
SAGE Publications
Publication Date
Jun 02, 2020
Volume
8
Identifiers
DOI: 10.1177/2050313X20926440
PMID: 32537162
PMCID: PMC7268160
Source
PubMed Central
Keywords
License
Unknown

Abstract

The patient was a 76-year-old woman with an atypical descending thoracic aortic aneurysm due to a highly tortuous descending aorta. The surgical approach in this case required special consideration because of the aneurysm’s location. The main body of the aneurysm was in the right thoracic cavity. Descending thoracic aorta replacement with a prosthetic graft and aneurysmal total exclusion were performed through a left curvilinear thoracoabdominal incision. The patient’s postoperative course was uneventful. Surgical exclusion of a thoracic aortic aneurysm may be a useful technique in this special situation. Postoperative follow-up is needed to prevent early and late complications.

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