Hybrid Transcarotid Exclusion of Postoperative Ascending Aortic Dissection in an Infant

Sara Sadat-Hossieny; Salima Bhimani; Alistair Phillips; Munir Ahmad; Edgard Bendaly; Thomas E Fagan

doi:10.1016/j.jaccas.2022.01.002

Hybrid Transcarotid Exclusion of Postoperative Ascending Aortic Dissection in an Infant

JACC Case Rep. 2022 Feb 16;4(4):226-229. doi: 10.1016/j.jaccas.2022.01.002.

Authors

Sara Sadat-Hossieny¹, Salima Bhimani¹, Alistair Phillips², Munir Ahmad², Edgard Bendaly¹, Thomas E Fagan¹

Affiliations

¹ Department of Pediatric Cardiology, Pediatric Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
² Department of Cardiothoracic Surgery, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Abstract

Aortic dissection is very rare in pediatric patients, and associated risk factors include congenital heart disease, previous cardiac surgery, and vasculopathies. Acute postoperative aortic dissection in pediatric patients can be life-threatening. We performed a novel hybrid transcarotid covered stent exclusion of a postoperative ascending aortic dissection in an infant. (Level of Difficulty: Advanced.).

Keywords: AA, ascending aorta; CAA, coronary artery aneurysm; CHD, congenital heart disease; ECMO, extracorporeal membrane oxygenation; LV, left ventricular; LVEDp, left ventricular end-diastolic pressure; POD, postoperative day; RCA, right carotid artery; aortic dissection; congenital heart disease; covered stent; ePTFE, expanded polytetrafluoroethylene; hybrid; iCAST stent; infant.

Publication types

Case Reports