Acute 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

  • Francisco Guerrero Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru. https://orcid.org/0000-0002-7515-5993
  • Karla Bautista Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru. https://orcid.org/0000-0003-2293-3218
  • Giuseppe Salas Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru. https://orcid.org/0000-0002-2719-6483
  • Edmy Callalli Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru.
  • Josías C. Ríos Cardiovascular Surgery Department. Instituto Nacional Cardiovascular INCOR. EsSalud. Lima, Peru. https://orcid.org/0000-0002-4396-7954
Palabras clave: Aneurysm, dissecting, Aortic coarctation, Aortic valve insufficiency, Aortic valve prolapse

Resumen

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.

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Citas

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Publicado
2021-10-04
Cómo citar
1.
Guerrero F, Bautista K, Salas G, Callalli E, Ríos JC. Acute 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. Arch Peru Cardiol Cir Cardiovasc [Internet]. 4 de octubre de 2021 [citado 7 de diciembre de 2021];2(3):211-5. Disponible en: https://apcyccv.org.pe/index.php/apccc/article/view/154
Sección
Reportes de casos