Near complete aortic transection and its successful repair using a novel cardiopulmonary bypass technique.
The case of a 38-year old female, victim of a road traffic accident who presented with a near complete aortic transection is presented. An emergent repair employing cardiopulmonary bypass was attempted in the operating room. Anticipating a high-risk of compromise to cerebral perfusion from air micro-emboli, the bypass was attempted with an innovative approach involving the successful cannulation of the pulmonary artery and descending aorta. The patient survived and was found to be doing well on subsequent post-operative visits.
Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Dania Aijaz
DA
Shah
Division of General Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ, USA.
Adil Aijaz
AA
Shah
Medical College, Aga Khan University, Karachi, Pakistan.
Syed Jawad
SJ
Shah
Department of Surgery, Aga Khan University, Karachi, Pakistan.
Muhammad Naseer
MN
Khan
Department of Surgery, Aga Khan University, Karachi, Pakistan.
Saulat Hasnain
SH
Fatimi
D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D009104:Multiple Trauma; D014057:Tomography, X-Ray Computed
Air emboli, Aortic transection, Cardiopulmonary bypass, Micro emboli, Pulmonary artery.