COMPLETE REPAIR OF DEBAKEY III-B TYPE DISSECTING ANEURYSM

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We have experienced five complete repair cases of aortic dissections, four of which classified as DeBakey type III-b and one done as the type III-b like abdominal dissection were treated with entry and re-entry at the same time or in two-step procedure. <BR>Case 1 and 3 with major viseral branch from true lumen underwent graft replacement of decending aorta and clossure of re-entry. <BR>Case 2 with visceral branch from false lumen underwent graft replacement of decending aorta and abdominal aorta. <BR>Case 4 with abdominal dissection underwent clossure of entry and re-entry. Case 5 with aneurysmal change of the aortic dissected lesion underwent all replacement of dissecting aorta and reconstraction of visceral branch. <BR>Their postoperative courses are uneventful without complications such as paralysis and visceral ischemia, and DSA have demonstrated favarable results. We believe these methods are currently radical operations for type III-b dissection.
日本臨床外科学会の論文