重症下腿潰瘍および大動脈弁閉鎖不全症を合併した巨大慢性解離性上行大動脈瘤の1例

Refractory Lower Leg Ulcers with Giant Aortic Aneurysm Accompanied with Chronic Stanford Type A Aortic Dissection and Severe Aortic Regurgitation；Report of a Case

はじめに　われわれは重症下腿潰瘍および大動脈弁閉鎖不全症（AR）を合併した巨大慢性解離性上行大動脈瘤の症例に対して手術を行ったので，文献学的考察を加えて報告する．

A 54-year-old male presented with severe aortic regurgitation. Physical examination showed severely infected lower leg ulcers （LLU）. Giant aortic aneurysm （110 mm） with Stanford type A aortic dissection was revealed by computed tomography. We treated his infected legs first and on the 22nd day he underwent modified Bentall operation. Postoperative course was uneventful and he moved to other hospital for skin grafting of the lower extremities. Pathological study showed no specific change in the aorta.