title: Acute type A aortic dissection surgery impeded by substernal colon interposition.
abstract: A 54-year old female patient presented with acute aortic dissection, Stanford type A, and a past history of oesophageal resection with substernal colon interposition. Preoperative computer tomography confirmed the aortic dissection and revealed a colonic graft that was adherent to the sternum. We report the first successful surgical treatment of aortic dissection in this challenging patient.
authors.affiliation: Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany maxmilian.vondran@gmx.de.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Vondran
authors.affiliation: Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.
authors.forename: Farhad
authors.initials: F
authors.lastname: Bakhtiary
authors.affiliation: Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.
authors.forename: Michael Andrew
authors.initials: MA
authors.lastname: Borger
authors.affiliation: Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.
authors.forename: Friedrich Wilhelm
authors.initials: FW
authors.lastname: Mohr
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D003106:Colon / Q000637:transplantation*; D001026:Coronary Artery Bypass; D016629:Esophagectomy; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D056346:Sternotomy; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aorta/aortic; Aortic arch; Aortic dissection; Aortic operation; Oesophageal biology/pathology; Oesophageal injury/perforation