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Transposition of the Left Carotid Artery to the Ascending Aorta to Repair Aortic Arch Injury
Author(s) -
Lentini Salvatore,
Gaeta Roberto,
Tancredi Fabrizio,
Savasta Marcello,
Monaca Marco La,
Ciuffreda Francesco,
Monaco Francesco
Publication year - 2009
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.1540-8191.2008.00722.x
Subject(s) - medicine , ascending aorta , aortic arch , stenosis , extracorporeal circulation , aorta , common carotid artery , arch , thoracic aorta , lesion , surgery , transposition (logic) , cardiology , carotid arteries , linguistics , philosophy , civil engineering , engineering
We present a case where we repaired the aortic arch, by the transposition of the left carotid artery to the ascending aorta. A 52‐year‐old man presented to our department with a penetrating chest wound by a gunshot in the attempt of suicide. The aortic arch and the insertion of the left carotid artery were involved in the lesion. Through sternotomic approach, the aortic arch was repaired in extracorporeal circulation. Left carotid artery was transected to allow easier repair of the arch posterior wall involved in the lesion, and to reduce the danger of residual stenosis. Then, it was translocated to the ascending aorta by interposing a 7‐mm Gore‐Tex (W.L. Gore & Associates, Flagstaff, AZ, USA) conduit. The patient complicated renal failure and pneumonia in the postoperative period, but eventually he was discharged in good general conditions.