Article

Acute type B aortic dissection and coarctation: open stent-graft elephant trunk.

Department of Cardiac Surgery, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing, China.
Asian cardiovascular & thoracic annals 06/2012; 20(3):335-7. DOI:10.1177/0218492311435502 pp.335-7
Source: PubMed

ABSTRACT We describe a case of acute type B dissection associated with coarctation of the aorta. An intimal tear was located just distal to the coarctation. Aortic dilatation started below the coarctation and extended to the level of the diaphragm. We performed descending aorta replacement from the distal aortic arch to the level of the 9(th) intercostal arteries, and implanted a stent-graft elephant trunk through a left posterior lateral thoracotomy in the 5(th) intercostal space off-pump.

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Keywords

acute type B dissection
 
Aortic dilatation
 
coarctation
 
descending aorta replacement
 
diaphragm
 
left posterior lateral thoracotomy
 
stent-graft elephant trunk