Consequences of incomplete repair of acute type A aortic dissection

Vitaly Aleksandrovich Sorokin, Theo Kofidis, Felix Woitek, Eliana Cecilia Martinez Valencia, Neng Lee Chuen, Uwe Klima

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)1121-1123
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume7
Issue number6
DOIs
StatePublished - Dec 2008
Externally publishedYes

Fingerprint

Dissection
Marfan Syndrome
Thoracic Aorta
Reoperation
Aorta
Patient Safety
Chest Pain
Ambulatory Surgical Procedures
Aneurysm
Dilatation
Emergencies
Therapeutics

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 journalArticle

Sorokin, Vitaly Aleksandrovich ; Kofidis, Theo ; Woitek, Felix ; Martinez Valencia, Eliana Cecilia ; Chuen, Neng Lee ; Klima, Uwe. / Consequences of incomplete repair of acute type A aortic dissection. In: Interactive Cardiovascular and Thoracic Surgery. 2008 ; Vol. 7, No. 6. pp. 1121-1123.
@article{41254d1854b64de2a39787a2a6ba9004,
title = "Consequences of incomplete repair of acute type A aortic dissection",
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.",
keywords = "Aortic arch replacement, Aortic dissection, Marfan's syndrome, Surgical treatment",
author = "Sorokin, {Vitaly Aleksandrovich} and Theo Kofidis and Felix Woitek and {Martinez Valencia}, {Eliana Cecilia} and Chuen, {Neng Lee} and Uwe Klima",
year = "2008",
month = "12",
doi = "10.1510/icvts.2008.183418",
language = "English (US)",
volume = "7",
pages = "1121--1123",
journal = "Interactive Cardiovascular and Thoracic Surgery",
issn = "1569-9293",
publisher = "European Association for Cardio-Thoracic Surgery",
number = "6",

}

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 -