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[Open stent implantation for ascending aorta aneurysm with severe calcification]
Y Kobayashi1, M Nonoyama, S Aomi
1Department of Cardiovascular Surgery, Kawasaki Social Insurance Hospital, Kawasaki, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|September 20, 2007
Summary
Open stent implantation effectively treated ascending aortic aneurysm and severe calcification in a high-risk patient with aortitis syndrome. This innovative approach offers a viable solution for complex aortic diseases.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Cardiology
Background:
- Aortitis syndrome can lead to ascending aortic aneurysms and aortic regurgitation.
- Severe aortic calcification poses surgical challenges, particularly when involving neck vessels.
Observation:
- A 77-year-old female patient presented with a 55 mm ascending aortic aneurysm and severe calcification extending to the aortic arch and neck vessels, secondary to aortitis syndrome.
- The patient also had significant aortic regurgitation.
Findings:
- The patient underwent successful open stent implantation combined with aortic valve replacement using bioprosthetic valves.
- No perioperative complications were observed, and the patient was discharged on postoperative day 28.
Implications:
- Open stent implantation is a feasible and effective treatment option for high-risk patients with complex ascending aortic aneurysms and severe calcification.
- This technique may improve outcomes in patients with aortitis syndrome and extensive aortic involvement.
