Concomitant Reconstruction of Arch Vessels during Repair of Aortic Dissection | Zendy

Slobodan Mićović | Zendy; Duško Nežić | Zendy; Petar Vuković | Zendy; Marko Jovanović | Zendy; Branko Lozuk | Zendy; Siniša Jagodić | Zendy; Bosko Djukanovic | Zendy

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Concomitant Reconstruction of Arch Vessels during Repair of Aortic Dissection

Author(s) -

Slobodan Mićović,

Duško Nežić,

Petar Vuković,

Marko Jovanović,

Branko Lozuk,

Siniša Jagodić,

Bosko Djukanovic

Publication year - 2014

Publication title -

texas heart institute journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.373

H-Index - 53

eISSN - 1526-6702

pISSN - 0730-2347

DOI - 10.14503/thij-13-3250

Subject(s) - medicine , aortic dissection , aortic arch , brachiocephalic artery , surgery , circulatory system , deep hypothermic circulatory arrest , dissection (medical) , concomitant , aorta , cardiology , cerebral perfusion pressure , radiology , perfusion

Surgery for acute aortic dissection is challenging, especially in cases of cerebral malperfusion. Should we perform only the aortic repair, or should we also reconstruct the arch vessels when they are severely affected by the disease process? Here we present a case of acute aortic dissection with multiple tears that involved the brachiocephalic artery and caused cerebral and right upper-extremity malperfusion. The patient successfully underwent complete replacement of the brachiocephalic artery and the aortic arch during deep hypothermic circulatory arrest, with antegrade cerebral protection. We have found this technique to be safe and reproducible for use in this group of patients.

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