Treatment Of Ascending Aortic Dissection Under Deep Hypothermic Circulatory Arrest
A 59 year-old African-American male with a history of an incompletely repaired type A aortic dissection, performed under deep hypothermic circulatory arrest (DHCA) presented with chronic chest pain. He was found to have a recurrence. Aortic dissections occur in two to four individuals per 100,000. The primary intimal tear is followed by secondary dissection of the media followed by propagation of the dissection proximally or distally. Involvement of the surrounding vessels eventually leads to the symptoms patients experience. We will discuss the types of aortic dissections, risk factors and management of this Type 1A dissection as well as the indications of DHCA.
Koujane R, Dakhlallah N, Mahmoud S, Treatment of ascending aortic dissection under deep hypothermic circulatory arrest. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.