Sogawa M, Yamamoto K, Haga M, Moro H, Ohzeki H, Hayashi J, Eguchi S
Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Mar;46(3):253-6. doi: 10.1007/BF03217738.
Acute type A aortic dissection in the presence of a previously repaired atherosclerotic descending thoracic aortic aneurysm is rarely reported. We experienced a patient who underwent an ascending aortic replacement with reconstruction of the aortic arch 16 months after repair of a descending thoracic aortic aneurysm. We succeeded in the redo operation with comprehensive techniques involving selective cerebral perfusion, deep hypothermia, early antegrade systemic circulation for cerebral protection, and femoro-femoral bypass with occlusion of the descending aorta for lower systemic perfusion as well as renal perfusion. The patient recovered and is doing well one year after the redo operation.
