Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report)
Aortic dissection after cardiac surgery is a rare abnormality in patients after prior coronary artery bypass grafting. This abnormality is often accompanied by aortic valve insufficiency, lower extremity malperfusion syndrome and other symptoms. The aim. To represent a case of correction of aorti...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Professional Edition Eastern Europe
2019-05-01
|
| Series: | Український журнал серцево-судинної хірургії |
| Subjects: | |
| Online Access: | http://cvs.org.ua/index.php/ujcvs/article/view/130 |
| _version_ | 1819086899309969408 |
|---|---|
| author | A. V. Pavlenko S. V. Varbanets O. M. Dovgan O. Y. Pukas |
| author_facet | A. V. Pavlenko S. V. Varbanets O. M. Dovgan O. Y. Pukas |
| author_sort | A. V. Pavlenko |
| collection | DOAJ |
| description | Aortic dissection after cardiac surgery is a rare abnormality in patients after prior coronary artery bypass grafting. This abnormality is often accompanied by aortic valve insufficiency, lower extremity malperfusion syndrome and other symptoms.
The aim. To represent a case of correction of aortic dissection type A, with moderate to severe aortic insufficiency and right lower limb malprofusion syndrome in a patient with overweight after previous cardiac surgery.
Materials and methods. A 39-year-old patient was hospitalized with complaints for increased blood pressure, pain of the right lower limb and it malfunction. During the examination, an aortic dissection type A was diagnosed, and the right lower limb malperfusion syndrome was diagnosed.
Results and discussion. Aortic dissection type A combined with aortic insufficiency and lower extremity malperfusion syndrome is a rare abnormality in overweight patients after the previous coronary artery bypass grafting carried out in 2015. There were no descriptions of such cases in the local literature. Aortic prosthetic repair was performed with the formation of Hemiarch distal anastomosis using retrograde cerebral perfusion and femo-femoral shunting.
Conclusion. Prosthetic repair of the ascending aorta with the formation of Hemiarch distal anastomosis and resuspension of the aortic valve using retrograde cerebral perfusion and deep hypothermia, and formation of femo-femoral shunting provided good outcome in patient with aortic dissection, aortic valve insufficient, lower extremities malperfusion syndrome and overweight. |
| first_indexed | 2024-12-21T21:27:35Z |
| format | Article |
| id | doaj.art-3d2f26de88fe4b0b8b3d8ca558d52647 |
| institution | Directory Open Access Journal |
| issn | 2664-5963 2664-5971 |
| language | English |
| last_indexed | 2024-12-21T21:27:35Z |
| publishDate | 2019-05-01 |
| publisher | Professional Edition Eastern Europe |
| record_format | Article |
| series | Український журнал серцево-судинної хірургії |
| spelling | doaj.art-3d2f26de88fe4b0b8b3d8ca558d526472022-12-21T18:49:42ZengProfessional Edition Eastern EuropeУкраїнський журнал серцево-судинної хірургії2664-59632664-59712019-05-012 (35)12212710.30702/ujcvs/19.3505/029122-127130Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report)A. V. PavlenkoS. V. VarbanetsO. M. DovganO. Y. PukasAortic dissection after cardiac surgery is a rare abnormality in patients after prior coronary artery bypass grafting. This abnormality is often accompanied by aortic valve insufficiency, lower extremity malperfusion syndrome and other symptoms. The aim. To represent a case of correction of aortic dissection type A, with moderate to severe aortic insufficiency and right lower limb malprofusion syndrome in a patient with overweight after previous cardiac surgery. Materials and methods. A 39-year-old patient was hospitalized with complaints for increased blood pressure, pain of the right lower limb and it malfunction. During the examination, an aortic dissection type A was diagnosed, and the right lower limb malperfusion syndrome was diagnosed. Results and discussion. Aortic dissection type A combined with aortic insufficiency and lower extremity malperfusion syndrome is a rare abnormality in overweight patients after the previous coronary artery bypass grafting carried out in 2015. There were no descriptions of such cases in the local literature. Aortic prosthetic repair was performed with the formation of Hemiarch distal anastomosis using retrograde cerebral perfusion and femo-femoral shunting. Conclusion. Prosthetic repair of the ascending aorta with the formation of Hemiarch distal anastomosis and resuspension of the aortic valve using retrograde cerebral perfusion and deep hypothermia, and formation of femo-femoral shunting provided good outcome in patient with aortic dissection, aortic valve insufficient, lower extremities malperfusion syndrome and overweight.http://cvs.org.ua/index.php/ujcvs/article/view/130aortic dissection type acardiac reinterventionfemo-femoral bypassprosthetic repair of the ascending aorta |
| spellingShingle | A. V. Pavlenko S. V. Varbanets O. M. Dovgan O. Y. Pukas Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report) Український журнал серцево-судинної хірургії aortic dissection type a cardiac reintervention femo-femoral bypass prosthetic repair of the ascending aorta |
| title | Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report) |
| title_full | Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report) |
| title_fullStr | Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report) |
| title_full_unstemmed | Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report) |
| title_short | Prosthetic Repair of the Ascending Aorta in a Patient with Aortic Dissection Type A after Coronary Artery Bypass Grafting (Case Report) |
| title_sort | prosthetic repair of the ascending aorta in a patient with aortic dissection type a after coronary artery bypass grafting case report |
| topic | aortic dissection type a cardiac reintervention femo-femoral bypass prosthetic repair of the ascending aorta |
| url | http://cvs.org.ua/index.php/ujcvs/article/view/130 |
| work_keys_str_mv | AT avpavlenko prostheticrepairoftheascendingaortainapatientwithaorticdissectiontypeaaftercoronaryarterybypassgraftingcasereport AT svvarbanets prostheticrepairoftheascendingaortainapatientwithaorticdissectiontypeaaftercoronaryarterybypassgraftingcasereport AT omdovgan prostheticrepairoftheascendingaortainapatientwithaorticdissectiontypeaaftercoronaryarterybypassgraftingcasereport AT oypukas prostheticrepairoftheascendingaortainapatientwithaorticdissectiontypeaaftercoronaryarterybypassgraftingcasereport |