Open AccessAcute Stanford type A aortic dissection associated with aortic coarctation repaired by Tirone E. David & debranching techniques with combined axillar and femoral perfusion: a case report
Author(s) -
Francisco Guerrero,
K.P. Bautista,
Giuseppe Salas,
Edmy Callalli,
Josías Ríos
Publication year - 2021
Publication title -
archivos peruanos de cardiología y cirugía cardiovascular
Language(s) - English
Resource type - Journals
ISSN - 2708-7212
DOI - 10.47487/apcyccv.v2i3.154
Subject(s) - medicine , aortic dissection , coarctation of the aorta , ascending aorta , dissection (medical) , aortic arch , cardiopulmonary bypass , surgery , aorta , perfusion , cardiology
We present the case of a 38-year-old male with a diagnosis of Stanford A aortic dissection and associated coarctation of the thoracic aorta. Acute dissection associated with coarctation of the aorta is a rare problem and difficult to manage surgically. Establishing a cardiopulmonary bypass (CPB) with adequate flows is the main objective of the procedure; optimal cannulation ensures the protection of cerebral and visceral organs. We successfully performed aortic valve re-implantation surgery (T. David Surgery), replacement of the ascending aorta and aortic arch, as well as debranching of the supra-aortic trunks. The cannulation technique was axillary and femoral to guarantee flows through the coarctation area.