Circumferent dissection of the ascending aorta resulting in the occlusion of supra-aortic vessels repaired using the frozen elephant trunk technique - a case report

Research output: Journal article (peer-reviewed)Journal article

Abstract

BACKGROUND: Our patient presented with acute back pain and dyspnea, without neurological symptoms. The computed tomography (CT) scan showed a circumferent rupture of the ascending aortic intima which was invaginated in the arch and descending aorta.

CASE PRESENTATION: A 54-year-old male patient was diagnosed with a Type A aortic dissection. He was immediately transferred to our operation room (OR) from the emergency department of a peripheral hospital. He presented with a circumferential dissection of the ascending aorta originating just distal to the coronary ostia, with the invaginated intimal mass extending through the arch down the descending aorta. In mild hypothermia, the intimal mass was safely extracted and a frozen elephant trunk (FET) procedure was performed.

CONCLUSIONS: Despite the extensive dissection affecting the ascending aorta and aortic arch, resulting in partially occluded supra-aortic vessels by an intimal mass, the patient remained without neurological symptoms in the pre- and post-operative period and remains well one year post surgery.

Original languageEnglish
Article number298
Pages (from-to)298
JournalJournal of Cardiothoracic Surgery
Volume19
Issue number1
DOIs
Publication statusPublished - 22 May 2024

Keywords

  • Humans
  • Male
  • Middle Aged
  • Aortic Dissection/surgery
  • Tomography, X-Ray Computed
  • Blood Vessel Prosthesis Implantation/methods
  • Aortic Aneurysm, Thoracic/surgery
  • Aorta/surgery
  • Aorta, Thoracic/surgery

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