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
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) wit...
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| Format: | Article |
| Language: | English |
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Instituto Nacional Cardiovascular - INCOR
2021-10-01
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| Series: | Archivos Peruanos de Cardiología y Cirugía Cardiovascular |
| Subjects: | |
| Online Access: | https://apcyccv.org.pe/index.php/apccc/article/view/154 |
| _version_ | 1798022058649583616 |
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| author | Francisco Guerrero Karla Bautista Giuseppe Salas Edmy Callalli Josías C. Ríos |
| author_facet | Francisco Guerrero Karla Bautista Giuseppe Salas Edmy Callalli Josías C. Ríos |
| author_sort | Francisco Guerrero |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T17:23:42Z |
| format | Article |
| id | doaj.art-852f0c0452cc49e0a5fec26ad681f29a |
| institution | Directory Open Access Journal |
| issn | 2708-7212 |
| language | English |
| last_indexed | 2024-04-11T17:23:42Z |
| publishDate | 2021-10-01 |
| publisher | Instituto Nacional Cardiovascular - INCOR |
| record_format | Article |
| series | Archivos Peruanos de Cardiología y Cirugía Cardiovascular |
| spelling | doaj.art-852f0c0452cc49e0a5fec26ad681f29a2022-12-22T04:12:26ZengInstituto Nacional Cardiovascular - INCORArchivos Peruanos de Cardiología y Cirugía Cardiovascular2708-72122021-10-012321121510.47487/apcyccv.v2i3.154154Acute Stanford type A aortic dissection associated with aortic coarctation repaired by Tirone E. David & debranching techniques with combined axillar and femoral perfusion: a case reportFrancisco Guerrero0Karla Bautista1Giuseppe Salas2Edmy Callalli3Josías C. Ríos4Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru.Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru.Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru.Cardiothoracic Surgery Department. Hospital Nacional Hipolito Unanue. MINSA. Lima, Peru.Cardiovascular Surgery Department. Instituto Nacional Cardiovascular INCOR. EsSalud. Lima, Peru.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.https://apcyccv.org.pe/index.php/apccc/article/view/154aneurysm, dissectingaortic coarctationaortic valve insufficiencyaortic valve prolapse |
| spellingShingle | Francisco Guerrero Karla Bautista Giuseppe Salas Edmy Callalli Josías C. Ríos 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 Archivos Peruanos de Cardiología y Cirugía Cardiovascular aneurysm, dissecting aortic coarctation aortic valve insufficiency aortic valve prolapse |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | aneurysm, dissecting aortic coarctation aortic valve insufficiency aortic valve prolapse |
| url | https://apcyccv.org.pe/index.php/apccc/article/view/154 |
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