Abstract
A 54-year-old man with coarctation of the thoracic aorta and acute dissection of the ascending aorta ruptured into the pericardium underwent emergency repair of the dissection by means of replacement of the ascending aorta and the aortic valve. Correction of the aortic coarctation was performed 4 months later. The authors examine the special problems encountered in the treatment of this infrequent clinical emergency, which include decisions on the optimal sequence and timing of repair, on the best surgical exposure, and on the technique and adequacy of circulatory support (especially the choice of the arterial cannulation site.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bricker D. L., Parker T. M., Mistrot J. J., Dalton M. L., Jr Repair of acute dissection of the ascending aorta, associated with coarctation of the thoracic aorta in a Jehovah's Witness. J Cardiovasc Surg (Torino) 1980 May-Jun;21(3):374–378. [PubMed] [Google Scholar]
- Hovaguimian H., Aru G. M., Floten H. S. Acute type I aortic dissection with coarctation of the aorta: discussion of management and the report of a successful brain perfusion across an aortic coarctation. J Thorac Cardiovasc Surg. 1990 Jul;100(1):152–153. [PubMed] [Google Scholar]
- Lawson R. A., Fenn A. Dissection of an aneurysmal ascending aorta in association with coarctation of the aorta. Thorax. 1979 Oct;34(5):606–611. doi: 10.1136/thx.34.5.606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lin A. E., Lippe B. M., Geffner M. E., Gomes A., Lois J. F., Barton C. W., Rosenthal A., Friedman W. F. Aortic dilation, dissection, and rupture in patients with Turner syndrome. J Pediatr. 1986 Nov;109(5):820–826. doi: 10.1016/s0022-3476(86)80700-4. [DOI] [PubMed] [Google Scholar]
- Maron B. J. Coarctation of the aorta in the adult. Cardiovasc Clin. 1979;10(1):311–319. [PubMed] [Google Scholar]
- SKANDALAKIS J. E., EDWARDS B. F., GRAY S. W., DAVIS B. M., HOPKINS W. A. Coarctation of the aorta with aneurysm. Int Abstr Surg. 1960 Oct;111:307–326. [PubMed] [Google Scholar]
- Sampath R., O'Connor W. N., Noonan J. A., Todd E. P. Management of ascending aortic aneurysm complicating coarctation of the aorta. Ann Thorac Surg. 1982 Aug;34(2):125–131. doi: 10.1016/s0003-4975(10)60872-7. [DOI] [PubMed] [Google Scholar]
- Svensson L. G. Management of acute aortic dissection associated with coarctation by a single operation. Ann Thorac Surg. 1994 Jul;58(1):241–243. doi: 10.1016/0003-4975(94)91115-0. [DOI] [PubMed] [Google Scholar]