Intraoperative angiography for visceral arteries originating from false lumen

A 70-year-old man had an acute type B aortic dissection 9 years before his admission. The last enhanced computed tomography that was performed revealed an aneurysm that extended from the ascending aorta to the aortic arch, associated with a chronic aortic dissection, which extended from the aortic a...

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Bibliographic Details
Published inAsian cardiovascular & thoracic annals Vol. 30; no. 5; pp. 604 - 606
Main Authors Takago, Shintaro, Nishida, Satoru, Noda, Yukihiro, Nosaka, Yu, Yamamura, Ryo, Katoh, Hiromasa
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.06.2022
Subjects
frozen elephant trunk
Intraoperative angiography
chronic aortic dissection
visceral arteries
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Summary:A 70-year-old man had an acute type B aortic dissection 9 years before his admission. The last enhanced computed tomography that was performed revealed an aneurysm that extended from the ascending aorta to the aortic arch, associated with a chronic aortic dissection, which extended from the aortic arch to the left external iliac artery. His visceral arteries originated from the false lumen. We performed a total arch replacement with a frozen elephant trunk in the hybrid operating room. Immediately after the circulatory arrest termination, using intraoperative angiography, we verified that the blood supply to the visceral arteries was patent.
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ISSN:0218-4923
1816-5370
DOI:10.1177/02184923211041457