A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy

Yuji Kawano; Minoru Tabata; Daisuke Nakatsuka; Nobuhiko Hiraiwa

doi:10.1016/j.athoracsur.2016.01.047

A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy

Ann Thorac Surg. 2016 Aug;102(2):e147-9. doi: 10.1016/j.athoracsur.2016.01.047.

Authors

Yuji Kawano¹, Minoru Tabata², Daisuke Nakatsuka¹, Nobuhiko Hiraiwa¹

Affiliations

¹ Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
² Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan. Electronic address: mtabata@post.harvard.edu.

PMID: 27449452
DOI: 10.1016/j.athoracsur.2016.01.047

Abstract

We observed a case of intraoperative type A dissection during open descending and thoracoabdominal aortic replacement. It is difficult to obtain optimal access to the ascending aorta and aortic root through a left thoracotomy. Transection of the pulmonary trunk provided excellent exposure of the ascending aorta and aortic root, and we successfully managed this devastating adverse event.

Publication types

Case Reports

MeSH terms

Adult
Anastomosis, Surgical / methods
Aortic Aneurysm, Thoracic / diagnostic imaging*
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / diagnostic imaging
Aortic Dissection / surgery*
Blood Vessel Prosthesis Implantation / methods
Cardiopulmonary Bypass / methods
Emergency Treatment
Female
Follow-Up Studies
Humans
Intraoperative Complications / diagnostic imaging
Intraoperative Complications / surgery*
Risk Assessment
Thoracotomy / methods*
Tomography, X-Ray Computed / methods
Treatment Outcome
Vascular Surgical Procedures / methods