Place of extracorporeal membrane oxygenation in acute aortic dissection.
Coronary artery dissection (CAD) is a rare but serious complication of type A aortic dissection (AD) which may be discovered preoperatively in the presence of clinical or ECG signs of ischemia, or intraoperatively after dissection of the coronary ostium. Treatment of CAD consists of surgical repair with glue and, if necessary, coronary artery bypass graft. No case of AD with CAD complicated by major arrhythmias treated by assisted circulation has been reported in the literature. We report the first case of AD with implementation of extracorporeal membranous oxygenation following cardiotomy with a favorable outcome.
Doguet
Fabien
F
Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France. fabien.doguet@chu-rouen.fr
Vierne
Caroline
C
Leguillou
Vincent
V
Bessou
Jean Paul
JP
D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D003323:Coronary Aneurysm / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001026:Coronary Artery Bypass; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome