急性Ａ型大動脈解離で大動脈弁置換と上行大動脈置換術後に再解離をきたし人工弁温存Ｃａｂｒｏｌ法による大動脈基部再建と弓部全置換を同時施行した一例

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  • Cabrol's Method in Association with Aortic Arch Replacement for Recurrent Acute Type A Aortic Dissection.

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Total aortic arch repair was performed simultaneously with the aortic root replacement using Cabrol's method in a 61-year-old man with recurrent aortic dissection. Two months prior to admission the patient had undergone a separate replacement of the aortic valve and ascending aorta for acute type A dissection with aortic regurgitation due to a bicuspid valve. He developed a suture line disruption caused by recurrent dissection in the aortic root which had been reinforced with GRF glue on the first operation. During the second operative procedure the dilated aortic arch with the remnant false lumen was found to be extensively injured. Therefore total arch replacement was required in addition to aortic root reconstruction preserving the previously placed mechanical valve.

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