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Dissecting Aortic Aneurysm at Marfan Syndrome – Case Report


Authors: P. Šantavý;  M. Čermák;  R. Hájek;  K. Fábiková;  J. Novotný *;  P. Němec
Authors place of work: Kardiochirurgická klinika FN Olomouc, přednosta doc. MUDr. Petr Němec, CSc. ;  Radiodiagnostické oddělení, Vojenská nemocnice Olomouc *
Published in the journal: Rozhl. Chir., 2007, roč. 86, č. 7, s. 359-362.
Category: Monothematic special - Original

Summary

The authors present the case report of a Marfan syndrome patient with aneurysm of ascending, dissecting aneurysm of descending and abdominal aorta. Ascending aorta replacement with aortic valve sparing procedure was performed at first surgery. Later on descending and abdominal aorta were replaced. The patient was reoperated because of a chylus collection in retroperitoneal space. Three months following surgery the patient is completely recovered.

Key words:
dissecting aortic aneurysm – Marfan syndrome


Zdroje

1. Kainulainen, K., Pulkkinen, L., Savolainen, A., Kaitila, I., Peltonen, L. Location on chromosome 15 of the gene defect causing Marfan syndrome. N. Engl. J. Med., 1990; 323: 935–939.

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3. David, T. E., Feindel, C. M. An aortic valve sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J. Thorac. Cardiovasc. Surg., 1992; 103: 617–622.

4. Bentall, H., De Bono, A. A technique for complete replacement of the ascending aorta. Thorax, 1968, Jul; 23(4): 338–339.

5. Hopkins, R. A. Aortic valve leaflet sparing and salvage surgery: evolution of techniques for aortic root reconstruction. European Journal of Cardio-Thoracic Surgery, vol. 24, Issue 6, December 2003, p. 886–897.

6. Bachet, J., Guilmet, D., Cron, C., Dreyfus, G., Goudot, B., Piquois, A., Brodaty, D., Dubois, C., de Lentdecker, P., Rosier, J. Protection of the spinal cord during surgery of thoraco-abdominal aortic aneurysms. European Journal of Cardio-Thoracic Surgery, vol. 10, Issue 10, 1996, p. 817–825.

7. Coselli, J. S., LeMaire, S. A. Current status of thoracoabdominal aortic aneurysm repair in Marfan syndrome. J. Card. Surg., 1997; 12: 167–172.

8. Ince, H., Rehders, T. C., Petzsch, M., Kische, S., Nienaber, C. A. Stent-grafts in patients with Marfan syndrome: J. Endovasc. Ther., 2005; 12 (1), 82–88.

Štítky
Surgery Orthopaedics Trauma surgery

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 7

2007 Číslo 7
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