Author:
Lok Yuh Ing,Villaquiran Jaime,Kuo James
Abstract
AbstractRedo ascending and aortic arch surgeries following previous cardiac or aortic surgery are associated with high risk of morbidity and mortality due to multiple factors included sternal re-entry injury, extensive aortic arch surgery, emergency aortic surgery, prolonged cardiopulmonary bypass duration, poor heart function, and patients with older age. Therefore, appropriate surgical strategies are important. We report a case of a 72-year-old gentleman with previous surgery of aortic root replacement who presented with acute Type A aortic dissecting aneurysm of ascending and aortic arch complicated with left hemothorax, which was successfully treated by emergency redo aortic surgery with frozen elephant trunk (FET) technique.
Publisher
Springer Science and Business Media LLC
Reference38 articles.
1. Di Eusanio M, Berretta P, Bissoni L, et al. Re-operations on the proximal thoracic aorta: results and predictors of short- and long-term mortality in a series of 174 patients. Eur J Cardiothorac Surg. 2011;40:1072–76.
2. Carrel T, Pasic M, Jenni R, et al. Reoperations after operation on the thoracic aorta: etiology, surgical techniques, and prevention. Ann Thorac Surg. 1993;56:259–68.
3. Nicholas J, Shea, Alex M, D’Angelo AR, Polanco, et al. Higher institutional volume reduces mortality in reoperative proximal thoracic aortic surgery. Aorta J. 2020;8:59–65.
4. Di Eusanio M, Castrovinci S, Tian DH, et al. Antegrade stenting of the descending thoracic aorta during DeBakey type 1 acute aortic dissection repair. Eur J Cardio Thorac Surg. 2014;45:967–75.
5. Kazui T, Kimura N, Yamada O, et al. Total arch graft replacement in patients with acute type a aortic dissection. Ann Thorac Surg. 1994;58:1462–8.