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The Journal of Cardiovascular Surgery 2002 October;43(5):701-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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


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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.

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