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; Karla Bautista; Giuseppe Salas; Edmy Callalli; Josías C. Rios

doi:10.47487/apcyccv.v2i3.154

Autores/as

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

DOI:

https://doi.org/10.47487/apcyccv.v2i3.154

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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