[A case report of chronic dissecting aortic aneurysm (Stanford type A) with circumferential detachment of the intima].

K Kodera, A Sakai, M Abe, Z B Lin, M Oosawa
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Abstract

A 57-year-old man underwent Bentall's procedure (Piehler's modification) and partial aortic arch replacement for Stanford type A chronic aortic dissection. Circumferential detachment of intima with intimal intussusception into the aortic arch was found at the time of operation. Preoperative findings did not show the intimal tear involving entire circumference of the ascending aorta. He was asymptomatic but coughing before consulting our hospital. He was discharged from the hospital 26 days after operation.

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慢性夹层主动脉瘤(Stanford A型)伴内膜周向脱离1例。
一名57岁男性因Stanford A型慢性主动脉夹层行本特尔手术(Piehler’s modification)和部分主动脉弓置换术。术中发现血管内膜周向脱离并形成内膜肠套叠进入主动脉弓。术前未见内膜撕裂累及整个升主动脉周长。他没有症状,但在来我们医院之前咳嗽。他在手术后26天出院。
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