Perfusion and repair technique in acute aortic dissection with cerebral malperfusion and damage of the innominate artery Paul P. Urbanski, MD, PhD, Matthias.

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Presentation transcript:

Perfusion and repair technique in acute aortic dissection with cerebral malperfusion and damage of the innominate artery Paul P. Urbanski, MD, PhD, Matthias Wagner, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 4, Pages 982-984 (October 2012) DOI: 10.1016/j.jtcvs.2012.05.042 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Left: Preoperative magnetic resonance angiography showing extension of the dissection membrane into the innominate artery causing obliteration of the true lumen and cerebral malperfusion. Right: Schematic illustration of cannulation and perfusion management during cardiopulmonary bypass. See text for details. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 982-984DOI: (10.1016/j.jtcvs.2012.05.042) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Left: Schematic illustration demonstrating complete arch replacement using quadrifurcated vascular prosthesis. One branch is used for installation of arterial inflow after completing distal aortic anastomosis; further branches are anastomosed end-to-end with the left subclavian artery and left carotid artery, and with a cannulation side-graft to the RCA. The innominate artery is ligated. See text for details. Right: Postoperative computed tomographic angiography demonstrating ligated innominate artery (arrow) and right-sided aorta-carotid bypass (arrowheads). The Journal of Thoracic and Cardiovascular Surgery 2012 144, 982-984DOI: (10.1016/j.jtcvs.2012.05.042) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions