alexa Circumferential Acute Type an Aortic Dissection with Intimo-Intimal Intussusception: The Efficacy of Central Aortic Cannulation | OMICS International| Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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  • Case Report   
  • J Clin Case Rep 2017, Vol 7(11): 1042
  • DOI: 10.4172/2165-7920.10001042

Circumferential Acute Type an Aortic Dissection with Intimo-Intimal Intussusception: The Efficacy of Central Aortic Cannulation

Keigo Yamashita1*, Nobuoki Tabayashi1, Takehisa Abe1, Yoshihiro Hayata1, Tomoaki Hirose1, Rei Tonomura1, Shinya Yokoyama1, Yamato Tamura2 and Shigeki Taniguchi1
1Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, , Kashihara, Nara, Japan
2Department of Cardiovascular Surgery, Nara Prefectural Seiwa Medical Center, , Ikoma, Nara, Japan
*Corresponding Author : Keigo Yamashita, Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara, Japan, Tel: +81-744-22-3051 (ext. 3423), Fax: +81-744-24-8040, Email: [email protected]

Received Date: Oct 20, 2017 / Accepted Date: Nov 18, 2017 / Published Date: Nov 22, 2017

Abstract

An 80-year-old woman suffered from acute chest pain and then exhibited cardiogenic shock. Transthoracic echocardiography revealed severe aortic regurgitation due to the intussusception of the intima. Computed tomography also showed the intussusception of the intima into the left ventricular outflow tract over the aortic valve and dissection involving the aortic root, aortic arch, and descending thoracic aorta. During surgery, echocardiography-guided central aortic cannulation was performed for the prompt establishment of cardiopulmonary bypass. The complete intimal tear was circumferentially located in the middle level of the ascending aorta. The proximal flap was inverted into the left ventricle, and the distal flap had been pushed into the aortic arch. Graft replacement of the ascending aorta was performed successfully, and the patient had an uneventful postoperative course.

Keywords: Acute aortic dissection; Circumferential aortic dissection; Intimo-intimal intussusception; Central aortic cannulation

Citation: Yamashita K, Tabayashi N, Abe T, Hayata Y, Hirose T, et al. (2017) Circumferential Acute Type an Aortic Dissection with Intimo-Intimal Intussusception: The Efficacy of Central Aortic Cannulation. J Clin Case Rep 7: 1042. Doi: 10.4172/2165-7920.10001042

Copyright: © 2017 Yamashita K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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