A safe option to perform an apparent difficult redo surgery.
A 50-year-old female operated of Bentall five years before was referred to our hospital for an aneurysm of both right subclavian artery and brachiocephalic trunk associated with a false anastomotic aneurysm on the insertion of the left coronary artery. The procedure was performed under moderate hypothermic circulatory arrest; the false aneurysm was repaired, the brachiocephalic trunk and the subclavian aneurysm were resected, an aorto-carotid and axillary bypass were finally performed. The postoperative course was uneventful. She was discharged to home on postoperative day 7. At six-month follow-up, she was still asymptomatic.
Vistarini
Nicola
N
Thoracic and Cardiovascular Surgery Department, Pierre and Marie Curie University (Paris VI) Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Aubert
Stephane
S
Rubin
Sylvain
S
Barreda
Eleodoro
E
Pavie
Alain
A
Leprince
Pascal
P
D000208:Acute Disease; D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D017541:Aneurysm, False / Q000473:pathology / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000473:pathology / Q000601:surgery*; D050792:Circulatory Arrest, Deep Hypothermia Induced; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D013348:Subclavian Artery / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*