caa a22 4500 475753267 CHVBK 20180406123530.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s005950050608 doi (NATIONALLICENCE)springer-10.1007/s005950050608 Total Arch Replacement with an Aortic Arch Aneurysm Due to Chronic Interstitial Pneumonia: Report of a Case [Elektronische Daten] [Toshiaki Tanaka, Tokuo Koshino, Masayoshi Itoh, Kanshi Komatsu, Noriyasu Ichimiya, Tomio Abe, Nozomu Kimura, Katsuya Ikeda] The case of a 66-year-old man who had rheumatoid arthritis, chronic interstitial pneumonia (IP) with honeycomb lung, and an aortic arch aneurysm is described. He complained of left chest pain in April 1998 and chest computed tomography revealed an enlargement of a thoracic aneurysm whose maximum diameter reached 7 cm. He was urgently transferred to our institution to undergo immediate surgery for an impending rupture of the aneurysm. His PaO2 with 80 Torr with oxygen therapy. The operation included a median sternotomy, extracorporeal circulation with selective cerebral perfusion, the use of cold blood cardioplegic solution, and open distal anastomosis. Although an acute exacerbation of IP occurred 2 months after the surgery, he successfully received intensive care including high-dose steroid therapy and artificial ventilation. He was successfully weaned from the ventilator and is now being followed up with medical treatment.: Springer-Verlag Tokyo, 2000 Key Words: interstitial pneumonia, honeycomb lung, acute exacerbation, aortic arch aneurysm nationallicence Tanaka Toshiaki Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut Koshino Tokuo Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut Itoh Masayoshi Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut Komatsu Kanshi Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut Ichimiya Noriyasu Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut Abe Tomio Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut Kimura Nozomu Department of Cardiovascular Surgery, Muroran Municipal Hospital, Muroran, Japan, JP aut Ikeda Katsuya Department of Cardiovascular Surgery, Muroran Municipal Hospital, Muroran, Japan, JP aut https://doi.org/10.1007/s005950050608 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050608 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tanaka Toshiaki Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut NATIONALLICENCE 700 1- Koshino Tokuo Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut NATIONALLICENCE 700 1- Itoh Masayoshi Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut NATIONALLICENCE 700 1- Komatsu Kanshi Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut NATIONALLICENCE 700 1- Ichimiya Noriyasu Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut NATIONALLICENCE 700 1- Abe Tomio Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan, JP aut NATIONALLICENCE 700 1- Kimura Nozomu Department of Cardiovascular Surgery, Muroran Municipal Hospital, Muroran, Japan, JP aut NATIONALLICENCE 700 1- Ikeda Katsuya Department of Cardiovascular Surgery, Muroran Municipal Hospital, Muroran, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer