title: Acute type A aortic dissection and coarctation of aortic isthmus.
abstract: Acute type A aortic dissection and coarctation of the aorta is a rare associated disease. A case of two-stage repair is presented. Firstly the ascending aorta and the right hemi-arch was replaced using deep hypo-thermic circulatory arrest. Cardiopulmonary bypass was proximally instituted, in a patient with total aortic isthmus occlusion, using right axillary artery cannulation. Distally arterial perfusion was obtained cannulating the bilateral hypoplasic femoral arteries. Ten months later a left subclavian artery-descending thoracic aorta bypass was performed.
authors.affiliation: 2nd Division of Vascular Surgery, Istituto Policlinico S. Donato E. Malan Cardiovascular Center, University of Milan, San Donato Milanese (MI), Italy.
authors.forename: V
authors.initials: V
authors.lastname: Rampoldi
authors.forename: S
authors.initials: S
authors.lastname: Trimarchi
authors.forename: V
authors.initials: V
authors.lastname: Tolva
authors.forename: P
authors.initials: P
authors.lastname: Righini
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008875:Middle Aged