Intraoperative Type B Aortic Dissection during Total Arch Replacement
DOI:
https://doi.org/10.1532/hsf.5179Keywords:
Aortic dissection, total arch replacement, Marfan syndrome, endovascular aortic repairAbstract
Background: Intraoperative aortic dissection is an extremely serious complication that should be prevented whenever possible. When it does occur, it requires urgent clinical management.
Case presentation: We report the case of a 78-year-old man with Marfan syndrome who developed an intraoperative complicated type B aortic dissection with a distal anastomosis entry site during total arch replacement for a chronic dissection.
Conclusion: Performing immediate thoracic endovascular aortic repair, we were able to improve malperfusion to the lower extremities occurred during total arch replacement.
References
Ishikawa M, Sakamoto A. 2014. Intraoperative descending aorta dissection during cardiac surgery. Int J Clin Anesthesiol. 2:1035.
Murphy DA, Craver JM, Jones EL, Bone DK, Guyton RA, Hatcher CR Jr. 1983. Recognition and management of ascending aortic dissection complicating cardiac surgical operations. J Thorac Cardiovasc Surg. 85:247-56.
Stelzmueller ME, Nolz R, Mahr S, et al. 2019. Thoracic endovascular repair for acute complicated type B aortic dissections. J Vasc Surg. 69:318-26.
Still RJ, Hilgenberg AD, Akins CW, Daggett WM, Buckley MJ. 1992. Intraoperative aortic dissection. Ann Thorac Surg. 53:374-9; discussion 380.
Varghese D, Riedel BJ, Fletcher SN, Al-Momatten MI, Khaghani A. 2002. Successful repair of intraoperative aortic dissection detected by transesophageal echocardiography. Ann Thorac Surg. 73:953-5.
