Stay Frosty: Anesthetic Implications of Aortic Arch Injury During Redo Sternotomy
A 76 yo woman with a history of bioprosthetic aortic valve replacement in 2018 complicated by subacute endocarditis and MSSA bacteremia in 2019 subsequently requiring valve-in-valve TAVR for severe aortic insufficiency in 2021 presented for redo bentall procedure for TEE confirmed aortic root endocarditis. After uneventful induction of anesthesia, sternotomy was attempted but the aortic arch was inadvertently ruptured during the process. We will discuss complications of redo cardiac surgeries, cardiopulmonary bypass cannulation strategies, and emergent implementation of deep hypothermic circulatory arrest with an extensive aortic arch injury.
Cruz A, Navas Blanco J. Stay frosty: anesthetic implications of aortic arch injury during redo sternotomy. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.