Combined acute ascending aneurysm and chronic descending thoracic aneurysms
Norita, H.; Ohteki, H.; Hisano, R.; Hayashida, K.; Yoshitake, K.; Yamada, M.
Kyobu Geka. Japanese Journal of Thoracic Surgery 48(6): 481-483
1995
ISSN/ISBN: 0021-5252 PMID: 7602862 Document Number: 446295
A 66-year-old woman with a known chronic descending thoracic dissecting aneurysm was admitted following a chest X-ray which revealed a widening in the mediastinum and an increased cardiothoracic ratio. Echocardiography and chest CT showed a combined ascending thoracic dissecting aneurysm with a tripple lumen, pericardial effision, moderate aortic regurgitation, and the chronic descending thoracic dissection with incompletely thrombosed aneurysm. The chest CT also showed a normal aortic arch. The diagnosis was then made as combined acute ascending aortic dissection (DeBakey II) and chronic descending aortic dissection (DeBakey III). A 2-stage operation was planned, involving first a graft replacement of the ascending aorta, and then one month later a graft replacement of the descending aorta.