A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy

A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy

We observed a case of intraoperative type A dissection during open descending and thoracoabdominal aortic replacement. It is difficult to obtain optimal access to the ascending aorta and aortic root through a left thoracotomy. Transection of the pulmonary trunk provided excellent exposure of the asc...

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Veröffentlicht in:The Annals of thoracic surgery 2016-08, Vol.102 (2), p.e147-e149
Hauptverfasser: Kawano, Yuji, MD, Tabata, Minoru, MD, MPH, Nakatsuka, Daisuke, MD, Hiraiwa, Nobuhiko, MD
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Anastomosis, Surgical - methods
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - surgery
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Blood Vessel Prosthesis Implantation - methods
Cardiopulmonary Bypass - methods
Cardiothoracic Surgery
Emergency Treatment
Female
Follow-Up Studies
Humans
Intraoperative Complications - diagnostic imaging
Intraoperative Complications - surgery
Risk Assessment
Surgery
Thoracotomy - methods
Tomography, X-Ray Computed - methods
Treatment Outcome
Vascular Surgical Procedures - methods
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Zusammenfassung:We observed a case of intraoperative type A dissection during open descending and thoracoabdominal aortic replacement. It is difficult to obtain optimal access to the ascending aorta and aortic root through a left thoracotomy. Transection of the pulmonary trunk provided excellent exposure of the ascending aorta and aortic root, and we successfully managed this devastating adverse event.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2016.01.047