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Ruptured thoracic descending aortic aneurysm coexisting with DeBakey type IIIb aortic dissection
Shinichiro Taniguchi1, Ryuichiro Shibata, Daisuke Onohara
1Department of Cardiovascular Surgery, Graduate School of Medicine, Nagasaki University, 1-7-1 Sakamoto-machi, Nagasaki 852-8501, Japan. tshin0917@yahoo.co.jp
General Thoracic and Cardiovascular Surgery
|January 13, 2011
Summary
This case report details a rare instance of a ruptured thoracic aortic aneurysm coexisting with DeBakey type IIIb aortic dissection. Surgical repair using a Dacron graft was successful, leading to the patient's uneventful recovery.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Thoracic Surgery
Background:
- Aortic dissection is a serious condition involving a tear in the aorta's inner layer.
- Thoracic aortic aneurysms involve a dangerous bulge in the upper part of the aorta.
- Coexistence of these two conditions is exceptionally rare.
Observation:
- A 67-year-old female patient with hypertension and prior stroke presented with DeBakey type IIIb aortic dissection.
- Initial conservative management failed as the patient developed shock.
- Contrast-enhanced computed tomography revealed a ruptured true thoracic aortic aneurysm concurrent with the dissection.
Findings:
- The rupture and intimal tear were localized to the mid-portion of the aneurysm.
- Surgical intervention involved left thoracotomy with circulatory arrest and deep hypothermia.
- A gelatin-covered Dacron graft was used for descending aorta replacement with open anastomoses.
Implications:
- This case highlights the importance of considering concurrent pathologies in complex aortic diseases.
- Successful surgical management of this rare combination can lead to favorable outcomes.
- Further research into the management of combined aortic aneurysms and dissections is warranted.
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