Intraoperative angiography for visceral arteries originating from false lumen. (June 2022)

• Record Type: Journal Article
• Authors: Takago, Shintaro; Nishida, Satoru; Noda, Yukihiro; Nosaka, Yu; Yamamura, Ryo; Katoh, Hiromasa
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 30:Number 5(2022)
• Page Start: 604
• Page End: 606
• Publication Date: 2022-06
• Subjects: Intraoperative angiography -- chronic aortic dissection -- frozen elephant trunk -- visceral arteries; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/02184923211041457
• Languages: English
• ISSNs: 0218-4923

Abstract

A 70-year-old man had an acute type B aortic dissection 9 years before his admission. The last enhanced computed tomography that was performed revealed an aneurysm that extended from the ascending aorta to the aortic arch, associated with a chronic aortic dissection, which extended from the aortic arch to the left external iliac artery. His visceral arteries originated from the false lumen. We performed a total arch replacement with a frozen elephant trunk in the hybrid operating room. Immediately after the circulatory arrest termination, using intraoperative angiography, we verified that the blood supply to the visceral arteries was patent.