Acute Stanford type A aortic dissection associated with aortic coarctation repaired by Tirone E. David & debranching techniques with combined axillar and femoral perfusion: a case report

• Autores: Guerrero, Francisco, Bautista, Karla, Salas, Giuseppe, Callalli, Edmy, Ríos, Josías C.
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Instituto Nacional Cardiovascular
• Repositorio: Archivos peruanos de cardiología y cirugía cardiovascular
• Lenguaje: inglés; español
• OAI Identifier: oai:ojs.apcyccv.org.pe:article/154
• Enlace del recurso: https://apcyccv.org.pe/index.php/apccc/article/view/154
• Nivel de acceso: acceso abierto
• Materia: Aneurysm, dissecting; Aortic coarctation; Aortic valve insufficiency; Aortic valve prolapse

We present the case of a 38-year-old male with a diagnosis of Stanford A aortic dissection and associated coarctation of the thoracic aorta. Acute dissection associated with coarctation of the aorta is a rare problem and difficult to manage surgically. Establishing a cardiopulmonary bypass (CPB) with adequate flows is the main objective of the procedure; optimal cannulation ensures the protection of cerebral and visceral organs. We successfully performed aortic valve re-implantation surgery (T. David Surgery), replacement of the ascending aorta and aortic arch, as well as debranching of the supra-aortic trunks. The cannulation technique was axillary and femoral to guarantee flows through the coarctation area.