[Florida Sleeve Technique Concomitant with Total Aortic Arch Replacement].

ABSTRACT

A 73-year-old man with chest pain was brought to our hospital. He was diagnosed with acute myocardial infraction (AMI) by coronary arteriogram and underwent emergent intervention. Enhanced computer tomography( CT) revealed thoracic aortic aneurysm extending from sinus of Valsalva to proximal aortic arch. Fifty days after the onset of AMI, we performed valve-sparing aortic root replacement with the Florida sleeve technique, total aortic arch replacement and coronary artery bypass grafting. Post operatively, the patient's recovery went well without any complications. In subsequent CT, sinus of Valsalva was shrunk from 47 mm to 38 mm. The Florida sleeve technique is simple, effective and could reduce surgical risks.