Concomitant aortic arch and root replacement using a stentless xenograft for acute type A dissection.
A 78-year-old woman with an aortic root aneurysm and aortic regurgitation developing acute type A dissection successfully underwent aortic root replacement using a stentless xenograft during core cooling, followed by total aortic arch replacement under selective cerebral perfusion with deep hypothermia. This bioprosthesis can be used in the same way as a free-hand homograft and potentially provides an aggressive, safe option for acute aortic dissection requiring aortic root reconstruction in elderly patients.
Takahashi
T
T
Second Department of Surgery, Yamagata University Medical School, Yamagata, Japan.
Shimazaki
Y
Y
Watanabe
T
T
Minowa
T
T
Uchida
T
T
Toyama
S
S
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans