急性Ａ型解離に対する上行弓部大動脈置換術後遠隔期における大動脈基部再解離―Ｂｅｎｔａｌｌ手術を施行した症例―

概要

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We have experienced a case of Bentall procedure for aortic root redissection a few years after ascending and arch aortic replacement for acute type A aortic dissection with involvement of the aortic root. Although late aortic redissection and false anastomotic aneurysm following the use of gelatin-resorcin-formaldehyde(GRF) glue has been recently reported in several articles, no pathological evidence is available for the potential toxic effects of GRF glue in our patient. We think that Bentall procedure or an aortic valve reimplantation procedure, David procedure, may be considered as one of the strategies for acute type A aortic dissection with involvement of the aortic root because of a high incidence of aortic root redissection and a high mortality of the reoperation.
日本循環制御医学会の論文