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Rescue Surgery 19 Years after Composite Root and Hemiarch Replacement
Author(s) -
Konstantin von Aspern,
Joerg Seeburger,
Christian D. Etz,
Matthias Sauer,
Lukas Lehmkuhl,
Martín Misfeld,
Friedrich W. Mohr
Publication year - 2013
Publication title -
case reports in surgery
Language(s) - English
Resource type - Journals
eISSN - 2090-6900
pISSN - 2090-6919
DOI - 10.1155/2013/619282
Subject(s) - medicine , surgery , aortic dissection , avulsion , marfan syndrome , perforation , aortic root , ascending aorta , bentall procedure , aorta , materials science , punching , metallurgy
A 59-year-old male patient with Marfan's syndrome was referred to our clinic due to acute chest pain. His medical history contains complex surgery for type A aortic dissection 19 years ago including composite root replacement using a mechanical aortic valve. Immediate computed tomography indicated perforation at the distal ascending aortic anastomosis plus complete avulsion of both coronary ostia. The patient underwent successful rescue surgery with ascending aortic and arch replacement using a modified Cabrol technique.

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