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

• Guerrero, Francisco ^[1] ; Bautista, Karla ^[1] ; Salas, Giuseppe ^[1] ; Callalli, Edmy ^[1] ; Ríos, Josías C. ^[2]
  1. [1] Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru.
  2. [2] Cardiovascular Surgery Department. Instituto Nacional Cardiovascular INCOR. EsSalud. Lima, Peru.
• Localización: Revista Peruanos de Cardiología y Cirugía Cardiovascular, ISSN-e 2708-7212, Vol. 2, Nº. 3, 2021, págs. 211-215
• Idioma: inglés
• Títulos paralelos:
  • Disección aórtica aguda tipo A de Stanford asociada a coartación aórtica reparada por Tirone E. David & técnicas de desramificación con perfusión combinada axilar y femoral: reporte de un caso
• Enlaces
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• 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.