ARCH Replacement in Acute Aortic Dissection Type a in Normothermia

Stiru, Ovidiu; Geana, Roxana Carmen; Tulin, Adrian; Ioan, Raluca Gabriela; Pavel, Victor; Balan, Daniela Gabriela; Iliescu, Vlad Anton

Ovidiu Stiru, Roxana Carmen Geana, Adrian Tulin, Raluca Gabriela Ioan, Victor Pavel, Daniela Gabriela Balan, Vlad Anton Iliescu

ARCH Replacement in Acute Aortic Dissection Type a in Normothermia

Abstract:

The purpose of this case presentation is to present a simplified surgical technique when in a patient with acute aortic dissection type A (AAD), aortic arch, and ascending aorta is completely replaced without circulatory arrest. A 67-year old male was presented in our institution with severe chest and back pain at 12 h after the onset of the symptoms. Imaging studies by 3D contrast-enhanced thoracic computed tomography (CT-scan) and transesophageal echocardiography (TEE) revealed ascending aortic dissection towards the aortic arch, which was extending in the proximal descending aorta. We practiced emergency median sternotomy and established cardiopulmonary bypass (CBP) between the right atrium and the right femoral artery with successive cross-clamping of the ascending and descending aorta below the origin of the left subclavian artery (LSA). In normothermic condition without circulatory arrest and with antegrade cerebral perfusion, we replaced the ascending aorta and aortic arch with a four branched Dacron graft. Patient evolution was uneventful, and he was discharged, after fourteen days from the hospital. At a one-year follow-up, 3D CT-scan showed no residual dissection with a well-circulated lumen of the supra-aortic arteries. Using the described surgical approach, CPB was not interrupted, the brain was protected, and hypothermia was no used. This approach made these surgical procedures shorter, and known complications of hypothermia and circulatory arrest are avoided.Acute aortic dissection aortic type A, total arch replacement, normothermia

Keywords:
Acute aortic dissection aortic type A; total arch replacement; normothermia

Issue: 2020, Volume 71, Issue 3

Pages: 282-286

Publication date: 2020/4/3

https://doi.org/10.37358/RC.20.3.7998

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
STIRU, O., GEANA, R.C., TULIN, A., IOAN, R.G., PAVEL, V., BALAN, D.G., ILIESCU, V.A., ARCH Replacement in Acute Aortic Dissection Type a in Normothermia, Rev. Chim., 71(3), 2020, 282-286.

Vancouver
Stiru O, Geana RC, Tulin A, Ioan RG, Pavel V, Balan DG, Iliescu VA. ARCH Replacement in Acute Aortic Dissection Type a in Normothermia. Rev. Chim.[internet]. 2020 Mar;71(3):282-286. Available from: https://doi.org/10.37358/RC.20.3.7998

APA 6th edition
Stiru, O., Geana, R.C., Tulin, A., Ioan, R.G., Pavel, V., Balan, D.G. & Iliescu, V.A. (2020). ARCH Replacement in Acute Aortic Dissection Type a in Normothermia. Revista de Chimie, 71(3), 282-286. https://doi.org/10.37358/RC.20.3.7998

Harvard
Stiru, O., Geana, R.C., Tulin, A., Ioan, R.G., Pavel, V., Balan, D.G., Iliescu, V.A. (2020). 'ARCH Replacement in Acute Aortic Dissection Type a in Normothermia', Revista de Chimie, 71(3), pp. 282-286. https://doi.org/10.37358/RC.20.3.7998

IEEE
O. Stiru, R.C. Geana, A. Tulin, R.G. Ioan, V. Pavel, D.G. Balan, V.A. Iliescu, "ARCH Replacement in Acute Aortic Dissection Type a in Normothermia". Revista de Chimie, vol. 71, no. 3, pp. 282-286, 2020. [online]. https://doi.org/10.37358/RC.20.3.7998

Text
Ovidiu Stiru, Roxana Carmen Geana, Adrian Tulin, Raluca Gabriela Ioan, Victor Pavel, Daniela Gabriela Balan, Vlad Anton Iliescu,
ARCH Replacement in Acute Aortic Dissection Type a in Normothermia,
Revista de Chimie,
Volume 71, Issue 3,
2020,
Pages 282-286,
ISSN 2668-8212,
https://doi.org/10.37358/RC.20.3.7998.
(https://revistadechimie.ro/Articles.asp?ID=7998)
Keywords: Acute aortic dissection aortic type A; total arch replacement; normothermia

RIS
TY - JOUR
T1 - ARCH Replacement in Acute Aortic Dissection Type a in Normothermia
A1 - Stiru, Ovidiu
A2 - Geana, Roxana Carmen
A3 - Tulin, Adrian
A4 - Ioan, Raluca Gabriela
A5 - Pavel, Victor
A6 - Balan, Daniela Gabriela
A7 - Iliescu, Vlad Anton
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2020
VL - 71
IS - 3
SP - 282
EP - 286
UR - https://doi.org/10.37358/RC.20.3.7998
KW - Acute aortic dissection aortic type A
KW - total arch replacement
KW - normothermia
ER -

BibTex
@article{RevCh2020P282,
author = {Stiru Ovidiu and Geana Roxana Carmen and Tulin Adrian and Ioan Raluca Gabriela and Pavel Victor and Balan Daniela Gabriela and Iliescu Vlad Anton},
title = {ARCH Replacement in Acute Aortic Dissection Type a in Normothermia},
journal = {Revista de Chimie},
volume = {71},
number = {3},
pages = {282-286},
year = {2020},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.20.3.7998},
url = {https://revistadechimie.ro/Articles.asp?ID=7998}
}

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