title: Successful surgery for an acute type A aortic dissection following repair of a descending thoracic aortic aneurysm.
abstract: Acute type A aortic dissection in the presence of a previously repaired atherosclerotic descending thoracic aortic aneurysm is rarely reported. We experienced a patient who underwent an ascending aortic replacement with reconstruction of the aortic arch 16 months after repair of a descending thoracic aortic aneurysm. We succeeded in the redo operation with comprehensive techniques involving selective cerebral perfusion, deep hypothermia, early antegrade systemic circulation for cerebral protection, and femoro-femoral bypass with occlusion of the descending aorta for lower systemic perfusion as well as renal perfusion. The patient recovered and is doing well one year after the redo operation.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Sogawa
authors.forename: K
authors.initials: K
authors.lastname: Yamamoto
authors.forename: M
authors.initials: M
authors.lastname: Haga
authors.forename: H
authors.initials: H
authors.lastname: Moro
authors.forename: H
authors.initials: H
authors.lastname: Ohzeki
authors.forename: J
authors.initials: J
authors.lastname: Hayashi
authors.forename: S
authors.initials: S
authors.lastname: Eguchi
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery; D001161:Arteriosclerosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation