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Two‐Staged Repair for An Acute Type A Aortic Dissection With Visceral Ischemia After an Aortic Valve Replacement
Author(s) -
Iwaki Hideyuki,
Suzuki Seko,
Yajima Toshimi,
Hioki Masafumi,
Nitta Takashi,
Ochi Masami,
Shimizu Kazuo
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00507.x
Subject(s) - medicine , aortic dissection , revascularization , ischemia , surgery , fenestration , aortic valve replacement , dissection (medical) , cardiology , sma* , occlusion , aorta , stenosis , mathematics , combinatorics , myocardial infarction
There is the consensus that patients with an acute type A aortic dissection (AADA) should undergo urgent surgical treatment. However, we dared to select a two‐staged repair in order to relieve the visceral ischemia first. In addition, we selected revascularization using a bypass graft without using a proximal aortic replacement or aortic fenestration, because the reason for the occlusion of the SMA was judged to be an extension of the dissection out along the proximal segment of the SMA. Consequently, we proposed that a two‐staged repair of the AADA with visceral ischemia was a useful option.