Total arch replacement for ruptured Stanford type B aortic dissection with thrombosed pseudolumen presenting hemodynamic deterioration
Paku, M.; Takeda, T.; Sakaguchi, H.
Kyobu Geka. Japanese Journal of Thoracic Surgery 67(5): 391-394
2014
ISSN/ISBN: 0021-5252 PMID: 24917286 Document Number: 676394
We report 2 cases of ruptured type B aortic dissection with thrombosed pseudolumen presenting hemodynamic deterioration which is a life-threatening condition. In such cases, surgical treatment often resulted in high mortality rates. We underwent total arch replacement via median sternotomy. In both cases, postoperative courses were uneventful. This approach ensured us wider operative field to establish cardiopulmonary bypass quickly, and to perform distal anastomosis without much difficulty.