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CASE REPORT  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2001 December;42(6):813-5

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Simultaneous surgery for ischemic heart disease, type A aortic dissection and abdominal aneurysm

Sakamoto H., Fukuda I., Seita J., Osaka M., Nakata H.

From the Department of Cardiovascular Surgery Tsukuba Medical Center Hospital, Tsukuba, Japan


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The ­patient was a 72-­year-old ­male ­with ­three-­vessel cor­o­nary ­artery dis­ease, ­chronic dis­secting aneu­rysm of the ­ascending ­aorta ­with mod­erate ­aortic regur­gi­ta­tion, and abdom­inal ­aortic aneu­rysm 7 cm in diam­eter. ­Because ­staged pro­ce­dure ­seemed to exac­er­bate the ­risk due to the ­remaining ­lesion, simul­ta­neous pro­ce­dures (­double cor­o­nary ­artery ­bypass, ­aortic ­root remod­eling, ­tube replace­ment of the ­ascending ­aorta and Y-­graft replace­ment of the abdom­inal aneu­rysm) ­were per­formed. The ­patient recov­ered com­pletely ­without any ­serious com­pli­ca­tion.

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