Reversed Elephant Trunk Technique for the Repair of Type B Aortic Dissection: A Case Report
| Autor: | Anjith Prakash Rajakumar, Mithun Sundararaaja Ravikumar, Karthik Raman, Arun Singh, Ejaz Ahmed Sheriff, Rajan Sethuratnam |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of Tehran University Heart Center, Vol 14, Iss 2 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1735-8620 2008-2371 |
| DOI: | 10.18502/jthc.v14i2.1376 |
| Popis: | We report a case of a type B aortic dissection with an aneurysm treated by the replacement of the proximal descending thoracic aorta via the reversed elephant trunk technique. A 48-year-old asymptomatic man was diagnosed with a type B aortic dissection, moderate aortic regurgitation, and a good biventricular function in March 2012. Four years later (April 2016), a contrast-enhanced computed tomography examination revealed an aneurysmal dilatation in the patient’s descending thoracic aorta with a thrombosis in the proximal part of the false lumen, which warranted surgical repair. He underwent type B aortic dissection repair through the left posterolateral thoracotomy. Three months after the surgery, the patient developed a type A aortic dissection with severe aortic regurgitation, which was successfully managed via a Bentall procedure with arch replacement facilitated by the reversed elephant trunk technique performed during the initial surgery through thoracotomy. At 2 years follow-up, the patient was doing well with a normal left ventricular function. |
| Databáze: | Directory of Open Access Journals |
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