Sugimoto S, Inaoka M
Department of Thoracic and Cardiovascular Surgery Hakodate Goryoukaku Hospital, Hokkaido, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Aug;45(8):1178-82.
A 72-year-old man underwent a three-stage operation for aneurysms of the distal aortic arch, descending thoracic aorta, and infrarenal abdominal aorta. Graft replacement of the abdominal aortic aneurysm was performed as an emergency because of suspicion of impending rupture. Operations for the aneurysms of the thoracic descending aorta and distal aortic arch were performed 2 months and 4 months later, respectively. The patient was well 16 months after discharge from the hospital. This is the first report of the successful three-stage surgical treatment of three isolated aortic aneurysms. The therapeutic principles for multifocal aortic aneurysms remain controversial. The strategy of surgical treatment for multifocal aortic aneurysms is discussed and previous literature is reviewed.
一名72岁男性因主动脉弓远端、胸降主动脉和肾下腹主动脉瘤接受了三期手术。由于怀疑腹主动脉瘤即将破裂，紧急进行了腹主动脉瘤的人工血管置换术。胸降主动脉瘤和主动脉弓远端动脉瘤的手术分别在2个月和4个月后进行。患者出院16个月后情况良好。这是首例成功对三个孤立性主动脉瘤进行三期手术治疗的报告。多灶性主动脉瘤的治疗原则仍存在争议。本文讨论了多灶性主动脉瘤的手术治疗策略并回顾了既往文献。
