Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review

Autor: Tiansheng Tang, Ziao Wang, Wei Zhou, Hai Wang, Hanjun Zhang, Ayu Sun, Jun Wei, Weiyong Sheng, Dafa Zhang
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of International Medical Research, Vol 51 (2023)
Druh dokumentu: article
ISSN: 1473-2300
03000605
DOI: 10.1177/03000605231166505
Popis: While there are many reports on partial aortic root remodelling, it is rarely performed for chronic aortic dissection of the coronary artery. This case report describes a 71-year-old male patient with chronic aortic dissection who was admitted to hospital due to repeated palpitations and chest distress. He had a long-term occlusion of the right coronary artery and an abnormal origin of the left vertebral artery. A carefully planned surgical strategy was arranged for this patient, and the surgical experience is described and discussed herein. Briefly, the patient was treated by aortic root repair plus ascending aorta replacement plus Sun's procedure plus left vertebral artery graft implantation plus coronary artery bypass graft (right coronary artery to saphenous vein to innominate artery). At approximately 6 months following surgery, the patient had returned to normal living conditions without any reports of discomfort.
Databáze: Directory of Open Access Journals