A Case of Abdominal Aortic Aneurysm Involved by Acute Type B Dissection Treated with One-Stage OPCAB and Y-Graft Replacement / 日本心臓血管外科学会雑誌

An 83-year-old man had acute type B aortic dissection combined with a large athelosclerotic abdominal aortic aneurysm (AAA) over 8cm in diameter. The dissection advanced into the wall of the AAA. The patient was treated with strict medical therapy for two months and successfully underwent an early elective abdominal aortic repair concomitant with off-pump aortocoronary bypass grafting. This strategy of meticulous medical management may improve clinical outcome for the acute phase in such rare cases.