An Alternative Technique for Ascending and Arcus Aorta Repair in Case of Vascular Diameter Mismatch

Authors

  • Bulend Ketenci, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Tamer Kehlibar, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Abdulkerim Ozhan, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Mehmet Yilmaz, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Erhan Guler, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Canan Karakaya, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Mehmet Erdem Memetoglu, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
  • Murat Demirtas, MD Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey

DOI:

https://doi.org/10.1532/hsf.2711

Keywords:

arcus aorta repair, intramural hematoma, vascular diameter mismatch

Abstract

Complicated Type A intramural hematoma involving the arcus aorta requires emergency correction of the aortic arch. Surgical options include reimplantation of the brachiocephalic vessels as an island to a vascular graft, debranching aortic arch surgery, and Kazui technique. This report describes a modified technique for aortic arch repair in a patient with vascular diameter mismatch between the ascending and descending aorta, as well as an intimal tear between the brachiocephalic vessels.

References

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Ghanta RK, Mery CM, Kron IL, et al. 2018. Aortic dissection. In: Cohn LH, Adams DH, eds. Cardiac Surgery in the Adult. 5th ed. New York, NY: McGraw-Hill 1003–35.

Mussa FF, Horton JD, Moridzadeh R, et al. 2016. Acute aortic dissection and intramural hematoma. JAMA 316:754-63.

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Velayudhan BV, Idhrees AM, et al. 2017. A new technique for graft-to-graft anastomosis to reconstruct the aortic arch. Ann Thorac Surg 103:e563–4.

Published

2020-04-29

How to Cite

Ketenci, B., Kehlibar, T., Özhan, A., Yilmaz, M., Guler, E., Karakaya, C., Memetoglu, M. E., & Demirtas, M. (2020). An Alternative Technique for Ascending and Arcus Aorta Repair in Case of Vascular Diameter Mismatch. The Heart Surgery Forum, 23(2), E255-E257. https://doi.org/10.1532/hsf.2711

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