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Ann Thorac Surg 2003;76:1286-1287
© 2003 The Society of Thoracic Surgeons

Case report

Successful treatment for intraoperatively evolving acute aortic dissection in a neonate

Thomas Walther, MD, PhDa*, Herbert Kiefer, MDb, Ingo Dähnert, MDc, Martin Kostelka, MD, PhDa

a Klinik für Herzchirurgie, Universität Leipzig, Herzzentrum, Leipzig, Germany
b Anästhesie, Universität Leipzig, Herzzentrum, Leipzig, Germany
c Kinderkardiologie, Universität Leipzig, Herzzentrum, Leipzig, Germany

Accepted for publication March 17, 2003.

* Address reprint requests to Dr Walther, Klinik für Herzchirurgie, Universität Leipzig, Herzzentrum, Strümpellstr 39, 04289 Leipzig, Germany
e-mail: walt{at}medizin.uni-leipzig.de

Acute aortic dissection is a life-threatening condition. We report the case of a neonatal one-stage correction of coarctation and hypoplastic aortic arch repair plus ventricular septal defect closure. While dissecting the head vessels after cannulation of the ascending aorta and commencing cardiopulmonary bypass, type A aortic dissection evolved. This required immediate ascending aorta and aortic arch reconstruction with coarctation of the aorta resection under hypothermic circulatory arrest. The surgical management of this rather unique situation is discussed here.




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 Ann. Thorac. Surg.Home page
M. Kostelka, T. Walther, I. Geerdts, A. Rastan, S. Jacobs, I. Dahnert, H. Kiefer, W. Bellinghausen, and F. W. Mohr
Primary Repair for Aortic Arch Obstruction Associated With Ventricular Septal Defect
Ann. Thorac. Surg., December 1, 2004; 78(6): 1989 - 1993.
[Abstract] [Full Text] [PDF]


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