Type A Aortic Dissection Following Heart Transplantation

Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in ax...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2024-07, Vol.39 (5), p.e20230252
Main Authors: Peña, Alvaro Diego, Cadavid, Eduardo Alberto, Estacio, Mayra, Moreno-Angarita, Alejandro, Olaya, R, Hector G, Olaya, Stephany
Format: Article
Language:English
Subjects:
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Aortic Dissection - etiology
Aortic Dissection - surgery
CARDIAC & CARDIOVASCULAR SYSTEMS
Case Report
Circulatory Arrest, Deep Hypothermia Induced
Femoral Artery - surgery
Heart Transplantation - adverse effects
Humans
Male
Middle Aged
Postoperative Complications
SURGERY
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Summary:Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in axillary and femoral artery without need for DHCA and ensuring complete neuroprotection of brain and spinal cord without hinderance of time factor. Inception of new ideas like this may decrease the need for DHCA and hence its drawbacks, thus decreasing the morbidity and mortality associated.
ISSN:1678-9741
0102-7638
1678-9741
DOI:10.21470/1678-9741-2023-0252