Double arterial perfusion strategy for acute type a dissection after extra-anatomic bypass for aortic coarctation.
Overview
abstract
The complex nature of reoperative ascending and thoracic aortic surgery requires creative solutions to protect vital organs during extended periods of ischemia. The case is presented of a Type A dissection in a young man who previously had undergone two aortic coarctation repairs via a posterior pericardial, ascending-to-descending, extra-anatomic aortic bypass. A step-by-step review of the planning, operative repair, and outcome is described.
