Surgical repair of Stanford type A acute aortic dissection with extreme tuberculosis-related mediastinal deviation. (1st August 2019)

• Record Type: Journal Article
• Authors: Saisho, Hiroyuki; Tobinaga, Satoru; Yoshida, Shohei; Tanaka, Hiroyuki
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 29:Number 5(2019)
• Page Start: 800
• Page End: 802
• Publication Date: 2019-08-01
• Subjects: Stanford type A acute aortic dissection -- Mediastinal deviation -- Surgical approach -- Rib-cross thoracotomy; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivz172
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: In this article, we report on the case of an 85-year-old woman with a history of left pulmonary tuberculosis, who was referred for Stanford type A acute aortic dissection. A preoperative chest X-ray and computed tomography revealed extreme mediastinal deviation to the left. We decided to perform surgery with left rib-cross thoracotomy. This approach yielded excellent exposure of the aortic root, ascending aorta and aortic arch. Following an uneventful operative and postoperative course, the patient was discharged on the 21st postoperative day.