Abstract
Acute type A aortic dissection in the presence of a previously repaired atherosclerotic descending thoracic aortic aneurysm is rarely reported. We experienced a patient who underwent an ascending aortic replacement with reconstruction of the aortic arch 16 months after repair of a descending thoracic aortic aneurysm. We succeeded in the redo operation with comprehensive techniques involving selective cerebral perfusion, deep hypothermia, early antegrade systemic circulation for cerebral protection, and femoro-femoral bypass with occlusion of the descending aorta for lower systemic perfusion as well as renal perfusion. The patient recovered and is doing well one year after the redo operation.
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Sogawa, M., Yamamoto, K., Haga, M. et al. Successful surgery for an acute type A aortic dissection following repair of a descending thoracic aortic aneurysm. Jpn J Thorac Caridovasc Surg 46, 253–256 (1998). https://doi.org/10.1007/BF03217738
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DOI: https://doi.org/10.1007/BF03217738