Composite graft replacement in acute aortic dissection: technique for anastomosing the right coronary artery without an aortic button.
Acute aortic dissection that involves the ostium of the right coronary artery is a rare occurrence, but treatment by composite graft replacement of the aortic root is a technically difficult procedure, usually involving implantation of an aortic button. We describe 2 patients with ostium of the right coronary artery severely damaged by acute aortic dissection. In both cases we used a technique that mobilized the right coronary artery sufficiently so that it could be implanted without including an aortic button.
Turkoz
Riza
R
Baskent University, Cardiovascular Surgery Department, Adana, Turkey. rturkoz@yahoo.com
Gulcan
Oner
O
D000714:Anastomosis, Surgical / Q000379:methods*; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000295:instrumentation / Q000379:methods*; D003331:Coronary Vessels / Q000637:transplantation*; D006801:Humans; D016896:Treatment Outcome