A novel approach for hybrid repair of type B aortic dissection associated with coarctation of the aorta

作者:Li Yu; Fan Zhanming; Huang Lianjun*; Xue Yuguo; Sun Lizhong
来源:Journal of Vascular Surgery, 2014, 59(5): 1422-1425.
DOI:10.1016/j.jvs.2013.05.089

摘要

We report the case of an acute type B aortic dissection in association with an unknown isthmic coarctation in a 53-year-old man. An intimal tear was located just distal to the coarctation, and the intimal flap extended to the level of the renal arteries. Hybrid repair was performed successfully 4 months later, without deep hypothermic circulatory arrest. An extra-anatomic bypass connected the ascending aorta to the abdominal aorta. The coarctation was occluded using a ventricular septal defect occluder. The hybrid repair was safe and effective for the patient.

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