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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS VASCULAR SECTION
The Journal of Cardiovascular Surgery 2002 October;43(5):701-3
Acute type A aortic dissection and coarctation of aortic isthmus
Rampoldi V., Trimarchi S., Tolva V., Righini P.
2nd Division of Vascular Surgery Istituto Policlinico S. Donato “E. Malan” Cardiovascular Center University of Milan, San Donato Milanese (MI), Italy
Acute type A aortic dissection and coarctation of the aorta is a rare associated disease. A case of two-stage repair is presented. Firstly the ascending aorta and the right hemi-arch was replaced using deep hypo-thermic circulatory arrest. Cardiopulmonary bypass was proximally instituted, in a patient with total aortic isthmus occlusion, using right axillary artery cannulation. Distally arterial perfusion was obtained cannulating the bilateral hypoplasic femoral arteries. Ten months later a left subclavian artery-descending thoracic aorta bypass was performed.