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Simultaneous total arch replacement and abdominal aortic surgery.

N Washiyama1, T Kazui, K Yamashita

  • 1First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|August 24, 2001
PubMed
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Simultaneous total arch and abdominal aortic surgery can be safely performed in patients with coexisting lesions. This combined approach showed no in-hospital mortality and good recovery in three patients, suggesting potential advantages.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Aortic Disease

Background:

  • Coexisting aortic arch aneurysms and abdominal aortic lesions present a complex clinical challenge.
  • Managing these dual pathologies often requires staged surgical interventions.

Purpose of the Study:

  • To evaluate the safety and feasibility of performing simultaneous total aortic arch replacement and abdominal aortic surgery.
  • To assess the early outcomes of this combined surgical approach in patients with concurrent aortic pathologies.

Main Methods:

  • A retrospective review of three patients who underwent simultaneous total aortic arch replacement and abdominal aortic surgery.
  • Detailed analysis of operative time, in-hospital outcomes, and postoperative complications.

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Main Results:

  • The mean operative time was 511 minutes.
  • No in-hospital mortality was observed.
  • One patient experienced temporary respiratory failure but recovered fully; all patients were discharged in good condition without other complications.

Conclusions:

  • Simultaneous total aortic arch replacement and abdominal aortic surgery is a potentially safe and effective option for select patients with coexisting aortic arch aneurysms and abdominal aortic lesions.
  • This combined approach may offer advantages over staged procedures if performed safely.