Abstract
During emergency repair of acute Stanford type A aortic dissections, surgical compromises in the form of incomplete arch replacement are made due to the unstable condition of the patient and safety issues of the performing team. We report a case of delayed reoperation after previous incomplete surgery for acute type A aortic dissection in a young patient with Marfan's syndrome. He presented again with repetitive chest pain five years after initial surgical treatment. Extensive aneurysmal dilatation of the aorta and remaining dissection led to the decision to replace the ascending aorta and the aortic arch. After a good progress during the first days after surgery, the patient died due to a ruptured thoraco-abdominal aneurysm on the fifth postoperative day. Extensive surgical reconstruction including aortic arch replacement should be considered in patients with Marfan's syndrome who present with aortic dissections type A to avoid unnecessary reoperations and their complications.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1121-1123 |
| Number of pages | 3 |
| Journal | Interactive Cardiovascular and Thoracic Surgery |
| Volume | 7 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 2008 |
| Externally published | Yes |
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Keywords
- Aortic arch replacement
- Aortic dissection
- Marfan's syndrome
- Surgical treatment
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Pulmonary and Respiratory Medicine
- Surgery
Cite this
Consequences of incomplete repair of acute type A aortic dissection. / Sorokin, Vitaly Aleksandrovich; Kofidis, Theo; Woitek, Felix; Martinez Valencia, Eliana Cecilia; Chuen, Neng Lee; Klima, Uwe.
In: Interactive Cardiovascular and Thoracic Surgery, Vol. 7, No. 6, 12.2008, p. 1121-1123.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Consequences of incomplete repair of acute type A aortic dissection
AU - Sorokin, Vitaly Aleksandrovich
AU - Kofidis, Theo
AU - Woitek, Felix
AU - Martinez Valencia, Eliana Cecilia
AU - Chuen, Neng Lee
AU - Klima, Uwe
PY - 2008/12
Y1 - 2008/12
N2 - During emergency repair of acute Stanford type A aortic dissections, surgical compromises in the form of incomplete arch replacement are made due to the unstable condition of the patient and safety issues of the performing team. We report a case of delayed reoperation after previous incomplete surgery for acute type A aortic dissection in a young patient with Marfan's syndrome. He presented again with repetitive chest pain five years after initial surgical treatment. Extensive aneurysmal dilatation of the aorta and remaining dissection led to the decision to replace the ascending aorta and the aortic arch. After a good progress during the first days after surgery, the patient died due to a ruptured thoraco-abdominal aneurysm on the fifth postoperative day. Extensive surgical reconstruction including aortic arch replacement should be considered in patients with Marfan's syndrome who present with aortic dissections type A to avoid unnecessary reoperations and their complications.
AB - During emergency repair of acute Stanford type A aortic dissections, surgical compromises in the form of incomplete arch replacement are made due to the unstable condition of the patient and safety issues of the performing team. We report a case of delayed reoperation after previous incomplete surgery for acute type A aortic dissection in a young patient with Marfan's syndrome. He presented again with repetitive chest pain five years after initial surgical treatment. Extensive aneurysmal dilatation of the aorta and remaining dissection led to the decision to replace the ascending aorta and the aortic arch. After a good progress during the first days after surgery, the patient died due to a ruptured thoraco-abdominal aneurysm on the fifth postoperative day. Extensive surgical reconstruction including aortic arch replacement should be considered in patients with Marfan's syndrome who present with aortic dissections type A to avoid unnecessary reoperations and their complications.
KW - Aortic arch replacement
KW - Aortic dissection
KW - Marfan's syndrome
KW - Surgical treatment
UR - http://www.scopus.com/inward/record.url?scp=57349137654&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57349137654&partnerID=8YFLogxK
U2 - 10.1510/icvts.2008.183418
DO - 10.1510/icvts.2008.183418
M3 - Article
VL - 7
SP - 1121
EP - 1123
JO - Interactive Cardiovascular and Thoracic Surgery
JF - Interactive Cardiovascular and Thoracic Surgery
SN - 1569-9293
IS - 6
ER -