title: Double arterial perfusion strategy for acute type a dissection after extra-anatomic bypass for aortic coarctation.
abstract: The complex nature of reoperative ascending and thoracic aortic surgery requires creative solutions to protect vital organs during extended periods of ischemia. The case is presented of a Type A dissection in a young man who previously had undergone two aortic coarctation repairs via a posterior pericardial, ascending-to-descending, extra-anatomic aortic bypass. A step-by-step review of the planning, operative repair, and outcome is described.
authors: Takashi
authors: T
authors: Nishimura
authors: James
authors: J
authors: Beck
authors: Hiroo
authors: H
authors: Takayama
authors: Isaac
authors: I
authors: George
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D001013:Aorta, Thoracic / Q000503:physiopathology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D001017:Aortic Coarctation / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D012086:Reoperation / Q000379:methods; D015424:Reperfusion / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome