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Ann Thorac Surg 1994;58:1164-1166
© 1994 The Society of Thoracic Surgeons

Articles

Replacement of entire aorta from aortic valve to bifurcation during one operation

Lars G. Svensson, MD, PhD*,a,b, David M. Shahian, MDa,b, Fred G. Davis, MDa,b, Michael H. Entrup, MDa,b, Wendy A. Kimmel, CCPa,b, Donna M. McGrath, RNa,b, Edward R. Jewel, MDa,b, Anthony W. Gray, Jr, MDa,b

a Departments of Thoracic and Cardiovascular Surgery, Anesthesia, USA
b Vascular Surgery, and Section of Pulmonary and Critical Care Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts, USA

Accepted for publication January 20, 1994.

* Address reprint requests to Dr Svensson, Aortic Surgery Center and Marfan Syndrome Clinic, Department of Cardiovascular and Thoracic Surgery, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805.

A 68-year-old patient presented with an extensive aortic aneurysm extending from the aortic valve to the aortic bifurcation associated with severe continuous pain, dysphagia, and hoarseness. Because of the risk of impending rupture and an "elephant trunk" procedure not being an option, the entire aorta from the aortic valve to the aortic bifurcation was replaced during one operation using deep hypothermia with circulatory arrest and retrograde perfusion of the brain through the jugular veins. Seven months after the operation the patient walks more than 3 km a day and lives a normal life. The operative repair is presented.




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