A novel approach for hybrid repair of type B aortic dissection associated with coarctation of the aorta

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• 作者：Yu Li ; MD^a ; Zhanming Fan ; MD^a ; Lianjun Huang ; MD^a ; ^{huanglianjun@163.com" class="auth_mail} ; Yuguo Xue ; MM^a ; Lizhong Sun ; MD^b
• 刊名：Journal of Vascular Surgery
• 出版年：May 2014
• 年：2014
• 卷：59
• 期：5
• 页码：1422-1425
• 全文大小：1089 K

文摘

We report the case of an acute type B aortic dissection in association with an unknown isthmic coarctation in a 53-year-old man. An intimal tear was located just distal to the coarctation, and the intimal flap extended to the level of the renal arteries. Hybrid repair was performed successfully 4 months later, without deep hypothermic circulatory arrest. An extra-anatomic bypass connected the ascending aorta to the abdominal aorta. The coarctation was occluded using a ventricular septal defect occluder. The hybrid repair was safe and effective for the patient.