info:eu-repo/semantics/article
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
Fecha
2021Registro en:
Archivos Peruanos de Cardiología y Cirugía Cardiovascular. 2021; 2(3).
Autor
Guerrero, Francisco
Bautista, Karla
Salas, Giuseppe
Callalli, Edmy
Ríos, Josías C.
Institución
Resumen
Presentamos el caso de un varón de 38 años con diagnóstico de disección aórtica Stanford A y coartación asociada de aorta torácica. La disección aguda asociada con la coartación de la aorta es un problema raro y difícil de manejar quirúrgicamente. Establecer un bypass cardiopulmonar (CEC) con flujos adecuados es el principal objetivo del procedimiento; La canulación óptima asegura la protección de los órganos cerebrales y viscerales. Realizamos con éxito cirugía de reimplantación valvular aórtica (Cirugía T.David), reposición de aorta ascendente y arco aórtico, así como desramificación de troncos supraaórticos. La técnica de canulación fue axilar y femoral para garantizar flujos por la zona de coartación. 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.
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