A Case of Isolated Acute DeBakey II Redissection Occurring in a Postoperative Survivor Who Underwent an Arch Replacement for Acute DeBakey IIIb Dissection

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Title ( eng )
A Case of Isolated Acute DeBakey II Redissection Occurring in a Postoperative Survivor Who Underwent an Arch Replacement for Acute DeBakey IIIb Dissection
Creator
Kochi Kazuhiro
Kanzaki Yoshio
Shiraga Koutaro
Kono Satoshi
Komiya Tatsuhiko
Imai Katsuhiko
Source Title
Hiroshima Journal of Medical Sciences
Volume 44
Issue 1
Start Page 17
End Page 19
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
A case of isolated acute DeBakey II redissection which occurred in a postoperative survivor who underwent an arch replacement for acute DeBakey IIIb dissection is reported. The operative findings revealed that there was an intimal tear above the left coronary cusp, that there was a false lumen in the native ascending aorta, and that a residual false lumen caused by the initial operation had not been detected. Redissection caused mainly by the operative procedure, such as the failure to include the site of the intimal tear in the original repair and the formation of a new dissection as a result of anastomotic failure, is frequently seen.  

However, isolated redissection is a rare condition. In this paper we discuss classification, diagnosis and treatment of redissection.
Keywords
Isolated Aortic Redissection
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 1995-03
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312