Acute type A aortic dissection and coarctation of aortic isthmus.
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.
Rampoldi
V
V
2nd Division of Vascular Surgery, Istituto Policlinico S. Donato E. Malan Cardiovascular Center, University of Milan, San Donato Milanese (MI), Italy.
Trimarchi
S
S
Tolva
V
V
Righini
P
P
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